In the corners of the vast and dense skill tree, there is a sub-discipline – interventional.

The discipline is divided into numerous branches and is connected to almost all clinical disciplines.

Interventional?

Luo Hao is no stranger to this "unpopular" discipline, and it seems that ovarian cysts can also be treated with interventional surgery.

With the movement of the mind, the intervention discipline was clicked on.

Two interventional discipline sub-skill trees appeared in front of Luo Hao - catheterization and puncture.

The treatment method for ovarian cysts is in the puncture skill tree, which belongs to level 3 skills, which is bright, which means that Luo Hao can now master and complete similar surgeries.

Oh heh?

Luo Hao's eyes lit up.

The basic principle Luo Hao knows, even if he has not had a similar operation.

The principle of the operation is to puncture under B-ultrasound positioning, use a syringe to withdraw the fluid in the ovarian cyst, and then solidify it with drugs to reduce the fluid exudation in the cyst.

Does it really work?

There was a book logo behind the skill tree, Luo Hao clicked on it, and a related paper on ovarian cyst puncture sclerosis appeared in front of him.

Really good, Luo Hao has stopped slandering the unreliable system and started to read the information.

In more than ten minutes, Luo Hao simply flipped through the relevant papers and felt that this thing could be done.

Because he was still in Director Lin's office, Luo Hao didn't plan to stay too long, so it was better to find a quiet place to learn this kind of technique.

Just about to leave, Director Lin pushed the door in with a dark face.

"Director Lin." Luo Hao observed his words and knew that his uncle's mood was not high, so he said hello honestly and obediently, and tried to put himself into a state of stealth without touching the moldy head.

Director Lin had a gloomy face and closed the door with his hand.

There is only one word in Luo Hao's mind - close the door and beat the dog.

In front of his nephew, Lin Yuming's expression loosened, revealing a little anger.

"It's a long fart!"

"Uncle, what's wrong?" Luo Hao knew that his uncle must have been scolded by the leader, and now he needed an audience to vent his dissatisfaction.

"If you don't pay for medical insurance, you have to be fined ......"

As he spoke, Director Lin held back, sat down indignantly, and picked up the tea jar.

"What do you say about obstetrics and gynecology?" Director Lin took a sip of tea and temporarily suppressed the fire in his heart.

Luo Hao briefly repeated the difficulties of obstetrics and gynecology, and did not give his own conclusions, but looked at Director Lin, waiting for the leader's instructions like other section members.

After Director Lin scolded a few words, his face also looked a little better.

Work is just work, and there are bound to be countless problems that cannot be solved.

The ecological niche of the medical department in the hospital belongs to the role of the backstabber, and all the areas that the uncles of the departments are unwilling to touch are thrown to the medical office.

To put it mildly, the medical office is the of the hospital.

Lin Yuming was conscious, and the emotional venting just now was just a burst after accumulating to the extreme.

"What the hell to do, what to do." Lin Yuming waved his hand and told Luo Hao to hurry up and "get out".

After Luo Hao left the medical director's office, he sat down at his desk and began to "get busy".

Although Luo Hao has not learned the non-physical performance, everyone is "busy" with their own affairs, and no one cares about Luo Hao.

Luo Hao entered the system space and began to study it carefully.

Ovarian cyst puncture sclerosis is not difficult, Luo Hao entered the system operating room after reading the paper and began training.

Before the system was turned on, Luo Hao used the operating room to carry out surgical training.

Infinite General Teachers are the only dreams of medical students, doctors, and even expert professors.

[Newbie Benefits: The system gives 3 hours of systematic surgery training time. 】

When Luo Hao came to the operating room of the system, a line of words appeared in the upper right corner of the field of vision.

Originally, Luo Hao didn't think there was anything special, but when he started the first ovarian cyst puncture sclerosis surgery, he immediately realized the difference between the training time of systematic surgery and the previous surgery by himself.

The most abundant energy, the most top brain power and comprehension, which is completely different from training silently in the system operating room.

Luo Hao felt like a teacher in his mind, correcting his mistakes all the time.

It turns out that the system is so easy to use!

Luo Hao was overjoyed.

It seems to have lived up to its expectations.

Three hours passed in the blink of an eye, and Luo Hao was full of harvest.

Looking at the tasks promulgated by the system, Luo Hao felt that it was nothing.

He recalled the technical details of the ovarian cyst puncture sclerosis and already had a plan in mind.

Coming to the door of Lin Yuming's office, Luo Hao knocked on the door and entered.

Lin Yuming was drinking water while holding an enamel jar, and the words of the flood commemoration that had fallen off the paint on the jar seemed to be covered with the dust of history.

"Little Snail, what's wrong?" Lin Yuming asked.

Listening to his uncle call himself Xiaoluo, it is obvious that he is in a good mood now.

But when it comes to business, Luo Hao still stands up very formally, "Director Lin, I found a way to solve some obstetrics and gynecology problems. ”

"Oh?" Lin Yuming held the enamel jar and looked up at Luo Hao.

Luo Hao recounted the conversation he had with Director Sun of the Department of Obstetrics and Gynecology and the ovarian cyst patient in the morning, and proposed a solution for puncture sclerosis.

"Spending less money, judging by the DIP reimbursement standard, almost all patients with ovarian cysts can be properly treated."

Director Lin didn't speak, but held the enamel jar in both hands in a daze.

Luo Hao also thought that Director Lin would not hesitate to agree with his views.

But now Director Lin's wandering appearance made Luo Hao feel Director Lin's silent refusal.

Is there something wrong with what I just said?

Luo Hao began to start from scratch.

This is a solution that benefits all three or even four parties, and there should be no problem.

"Director Lin, look ......"

"Do you think it's a program that benefits everyone?" Director Lin asked directly as if he had seen Luo Hao's thinking.

Luo Hao nodded blankly.

"It's possible, but it depends on how it is done." Director Lin had a straight face, still with an absent-minded expression, "You go back first, I'll think about it." ”

Luo Hao glanced at the novice task given by the system, and was a little helpless.

If, as the novel says, with a system, the world is invincible, no matter who is the head, it would be great.

But in fact, something seems wrong.

Just about to turn around, Director Lin suddenly asked, "Xiaoluo, how is your B-ultrasound level?" ”

"It should be about the same level as the director of our B-ultrasound room."

Director Lin waved his hand again, driving Luo Hao away like a fly.

……

Director Lin didn't look for Luo Hao for three days.

In the past three days, Luo Hao has entered the system countless times, and he has a more accurate understanding of the system.

"Luo Hao, come here."

After a day of work, Lin Yuming called Luo Hao to his office.

"Director Lin." Luo Hao put his hands on his legs, well-behaved like an old clinical officer.

"There is a relative of the leader who has an ovarian cyst and originally wanted to have laparoscopic surgery."

Luo Hao's eyes lit up, "I'll do it!" ”

"I want to eat it." Lin Yuming looked at Luo Hao with disdain.

Luo Hao figured out in an instant what his uncle Lin Yuming was thinking.

"Director Lin, are you going to invite an expert?"

"Of course. You say you can do it, and I believe you can do it, but Director Sun can be convinced? Can patients and their families agree? Lin Yuming did not answer Luo Hao's question directly, but preached earnestly, "Invite experts first and open an opening." When experts from the province came to do puncture hardening, Director Sun couldn't say anything, and it was easier to accept it. ”

Luo Hao nodded again and again.

This is indeed the best way to deal with the problem.

"You prepare, take the opportunity to invite experts to come, and bring the working group to the obstetrics and gynecology department."

"Go and ask Director Sun for the phone number of the patient who was denied hospitalization, and you will be responsible for contacting him."

"Anyway, the experts are also here, a small disposal, and a few cases are not done."

A sunny smile appeared on Luo Hao's face, "Director Lin, you are wise. ”

"!" Lin Yuming glanced at Luo Hao, "If you can pick it up, you can help the obstetrics and gynecology department." If you can't pick it up, you'll have to go the other way. ”

He said this vaguely, but Luo Hao could probably understand what he meant.

Luo Hao accompanied the relatives of the leader's family to go through the hospitalization procedures and communicate with the obstetrics and gynecology department, and everything went smoothly.

In the afternoon of the next day, Lin Yuming and Director Sun went to the high-speed rail station to pick up Liu Haisen, deputy director of the B-ultrasound room of the First Affiliated Hospital of the provincial capital.

The high-speed rail is very convenient, and the journey from half a day in the past is now about an hour.

Even Lin Yuming did not arrange accommodation for Deputy Director Liu, and Deputy Director Liu had a meal together after the operation and rushed back to the provincial capital by the last high-speed train.

At the exit of the station, Lin Yuming raised his hand high.

"Sixth!"

"Boss Lin, long time no see." Deputy Director Liu walked over with a smile and opened his arms to give Lin Yuming a hug.

Lin Yuming introduced, "Hai Sen is the director of the B-ultrasound room of the First Affiliated Hospital, and he is also the brother who sleeps on my top bunk. ”

The familiar melody sounded faintly in the ears of several people.

"You didn't drink my instant noodle soup back then."

"Who told you that you have money, you can afford to buy Master Kong at that time. In other words, now that I am tired of eating delicacies from the mountains and seas, I think back to the best thing I have ever eaten in my life is your leftover instant noodle soup. ”

"I didn't hide it, Master Kong is under the bed, you want to eat it yourself."

Director Sun saw that the two of them were hooking shoulders and backs, and he was very enthusiastic, and silently followed them and got into the car.

"Sixth, the operation is no problem." Lin Yuming asked after a few words of greeting.

"A small operation, it's fine." Deputy Director Liu said casually.

Immediately, he stopped talking.

Lin Yuming could understand what Deputy Director Liu meant, and he was not embarrassed, and said with a smile, "We have little interventional surgery, so what do we have to say." ”

"Ten years ago, your hospital was fourth in all indicators, except for the three affiliated hospitals of the Medical University, even the provincial hospitals can't compare to you."

"That's all the old Huang calendar of the past." Lin Yuming said, "The vast majority of doctors who are involved in this area should be ...... Dute was poached by hospitals in the south at a high price, and our hospital was very broken. ”

Deputy Director Liu nodded, asked a few words about the basic situation of the patient, knew in his heart, and did not continue to talk about this topic.

When I arrived at the hospital, after getting out of the car, Lin Yuming leaned into Deputy Director Liu's ear and whispered, "Sixth, my nephew is also here, you can help me take a look." ”

"Harm, Boss Lin, what are you talking about?" Deputy Director Liu pouted, "If it's okay, you can find someone in the province, and I will do everything on the side of the First Hospital, come to me to do B ultrasound, and guarantee that you will be an expert in the province in three years." ”

Lin Yuming knew that Deputy Director Liu would be wrong, but everyone said it to such an extent, which shows that the love of his classmates back then has not diminished.

Also, the older people get, the more they miss the old.

Thirty years after graduation, in the blink of an eye, the classmates who were in their prime were about to retire and go home to see their grandchildren.

"Ha, it doesn't matter if you need it, I'll thank you first." Lin Yuming smiled and said, "My nephew is a little weird. ”

"Character?"

"There is absolutely no problem with personality, and there is no problem with talent, he is a concord bachelor's and master's degree for eight years."

“！！！” Deputy Director Liu was surprised and looked sideways at Lin Yuming.

The young people who have been studying for eight years in the medical circle are basically geniuses among geniuses, but I didn't expect Boss Lin's nephew to be so promising.

But......

The Ph.D. students who have bachelor's, master's and doctoral degrees at Peking Union Medical College are all geniuses among geniuses, and most of them skip grades in elementary and junior high schools, so they are not very old when they graduate from doctoral degrees.

Young PhDs are 23 or 4 years old, usually around 25 years old.

Don't look at the concord is hard to stay, who will score. The young doctor with eight years of bachelor's, master's and doctoral degrees has the label and brand of Xiehe, and belongs to the Xiehe lineage and the object of passing the torch from generation to generation.

It is said that except for doctors who graduated from Union Medical College with an undergraduate, no matter how good they are, they will be labeled as not having solid basic knowledge in Union Hospital, and even be excluded.

If this kind of promising young man doesn't stay in Xiehe, how can he return to his hometown?

"Boss Lin, why didn't the child stay in Xiehe."

"Don't mention it, it is said that there is an old academician in Concord who wants to keep him, and this muddy boy actually refused. I thought it was a broken love or something, and when I came back, I didn't worry that he was in the clinic and stayed by my side to watch. ”

"I didn't see any mood changes during this time. You give me a look and see if he's super level, and if he does, I want him to do this. ”

"Okay, Boss Lin, don't worry, since it is Concord's eight-year bachelor's, master's and doctor's degree, the foundation must not be bad."

"Luo Hao, this is Liu Haisen, deputy director of the first B ultrasound of the Medical University."

Luo Hao was called and introduced to Liu Haisen seriously.

"Hello Mr. Liu." Luo Hao smiled and bowed.

Originally, in the morning, the expert clinic did more than 30 B ultrasounds, not to mention the lunch break after being busy, and even the lunch was eaten on the high-speed train, Liu Haisen's body was a little tired.

But after he saw Luo Hao, Liu Haisen immediately had a good impression of this sunny young man, and even his fatigue was alleviated a lot.

Luo Hao has an indescribable sense of sunshine.

"Hmm." Deputy Director Liu smiled, "You're welcome, you report your medical history first." ”

"Patient female ......" Luo Hao didn't look at the medical records, blurted out, and the details of the report were appropriate.

Deputy Director Liu frequently bowed his head.

Not to mention anything else, just the foundation of this medical record shows that Boss Lin's nephew is not bad.

And Luo Hao emphasized the points he cared about the most.

After the report, Luo Hao added, "I asked three times openly and secretly, and both the patient and the patient's family were sure that the patient could drink alcohol, and he would not get drunk if he drank eight taels of liquor." ”

"Hmm."

"Anhydrous alcohol and polylauric alcohol are ready, I will send them to the B-ultrasound room, you can use whatever you want."

Deputy Director Liu was even more satisfied with Luo Hao's performance.

This is a novice doctor who is new to interventional surgery for the first time, and it is as good as the doctor under him.

After reporting the medical history, Luo Hao disappeared appropriately, and Deputy Director Liu saw the patient and went to the B-ultrasound room after seeing that there were no contraindications to surgery.

Originally, Deputy Director Liu wanted to give face to Boss Zulin, and he stretched out his hand to do it himself from beginning to end.

But unexpectedly, after coming to the B-ultrasound room, Luo Hao began to get busy automatically and consciously, posing and preparing various equipment and consumables.

Deputy Director Liu simply stood aside and silently watched Luo Hao's every move.

Because it was a local anesthesia operation, the patient could hear everything the doctor said, so Lin Yuming didn't ask much, and accompanied Deputy Director Liu to watch Luo Hao busy.

Luo Hao's movements were simple and clean.

Looking at the words and colors, Lin Yuming could see from Deputy Director Liu's expression that Luo Hao seemed to be doing a good job.

"Teacher Liu, get ready."

Deputy Director Liu nodded, sat down next to the patient and began to do B ultrasound on the patient.

After finding the location of the ovarian cyst puncture, Deputy Director Liu beckoned Luo Hao, "Xiao Luo, help me take it." ”

Luo Hao took the B-ultrasound probe and fixed it firmly on the patient's abdominal wall.

By puncture, the fluid in the ovarian cyst is extracted, and then repeatedly rinsed and solidified with polylauric alcohol.

Twenty minutes, the operation is over.

The whole procedure was uneventful.

After the operation, without waiting for Deputy Director Liu's arrangement, Luo Hao explained the pathology and other matters that need attention to with the head nurse.

This kid is good, Deputy Director Liu sighed again.

"Rest for half an hour, and the patient can walk back." Deputy Director Liu said.

"Walk back? Let's push it back. Director Sun of the Department of Obstetrics and Gynecology suggested.

Lin Yuming raised his eyebrows, "Rest for half an hour and let the patient walk back by himself." ”

Walking back and pushing back are the same for doctors, but completely different for patients and their families.

Before the operation, the patient and the patient's family were full of nervousness.

But if you go back after surgery, as long as your IQ reaches the level of an ordinary person, you will understand that the surgery is quite good, and the trauma is very small.

Let the patient sit aside, Luo Hao and the doctor in charge of the bed looked at the patient, Director Lin and Deputy Director Liu, Director Sun of the Department of Obstetrics and Gynecology, and Director of the B-ultrasound room came to the director's office to rest.

As soon as he entered the door, Deputy Director Liu took Lin Yuming's arm and asked, "Didn't you really carry out interventional surgery?" ”

"Huh?" Lin Yuming was stunned.

"I think Xiao Luo is very skilled, and every step is impeccable." Deputy Director Liu carefully chose his words, and after pondering for a few seconds, he continued, "I feel that without the tempering of 1,800 surgeries, I can't do this step. ”

“……”

“……”

“……”

A few people from the mine were surprised.

"There is another detail, I asked Xiao Luo to help me hold the probe, Boss Lin, have you noticed, his hand has moved slightly."

“！！！”

Although Lin Yuming and Deputy Director Liu both graduated from Mudanjiang Medical College with a major in imaging, they have been out of clinical practice for more than ten years, and B-ultrasound images can be roughly understood, but the details must not keep up.

"There's a little capillary there, and to be honest, if you pop it, you will puncture it, it doesn't matter. But Luo Hao moved the probe and exposed the capillaries, so I dodged it. This operation reduces bleeding by 5ml. ”

"I thought it was a coincidence, but the more I thought about it, the more wrong it became."

Lin Yuming listened to Deputy Director Liu's chatter, and had a different kind of thought in his heart.

"Director Liu, we haven't done interventional surgery." The director of the B-ultrasound room of the mining institute whispered.

"That's what I did in Concord." Deputy Director Liu gave a positive reply, "Boss Lin, this kid is good, if you don't like it, it's a bit overkill to you, hahaha." ”

Lin Yuming smiled, very relieved.

"Not bad." Deputy Director Liu gave the final evaluation.

"Sixth, Xiaoluo secretly told me just now that you have a very high level, let me ask you if you have time to fly knives."

Deputy Director Liu was stunned.

Is this an inadvertent assessment?

The level of experts and professors of the flying knife is uneven, and there are also mutual evaluations between the doctors and the doctors of the local hospital.

"Do you have many patients like you?"

"It should be a lot, but now that DIP has paid for it, laparoscopy can't be done." Lin Yuming spread his hands.

"Okay." Deputy Director Liu thought about it and nodded in agreement.

Flying knives are mainly surgery, and there are few B-ultrasound and interventional doctors who run flying knives.

Patients and their families can save the fatigue of traveling; Specialists have the cost of throwing knives; Doctors at local hospitals also have access to higher-end technology.

Things that are beneficial to all three are justified in doing so.

Although Deputy Director Liu was not very interested in this matter, Boss Lin wanted to give face, and he was quite interested in Luo Hao.

"Okay." Deputy Director Liu said, "Let Xiao Luo get the patients when they come in, and I don't feel at ease if others get them." ”

"Oh? How? Lin Yuming asked.

"There's a devil in the details." Deputy Director Liu said, "For example, Xiao Luo repeatedly emphasized that patients drink alcohol because alcohol is used for solidification, and if the patient has a history of alcohol allergy, something may happen." ”

"When I first started intervention, I was about to go home after surgery, and the clinician suddenly called me and said that the patient was not in good condition and might need to be admitted to the ICU."

“！！！”

"I went to look at it, and I was dumbfounded, the patient was lying on the bed talking nonsense...... It's like a patient who has injured his brain in a car accident. ”

"At that time, I had no choice but to call the teacher in the imperial capital for consultation."

"It was later concluded that the patient could not drink alcohol, and the solidification of tens of milliliters of anhydrous alcohol caused the patient to be drunk."

"Is that okay?!" Lin Yuming was surprised.

"I'm also worried, I'm afraid it's something else, so I sat at the head of the bed and watched it all night." Deputy Director Liu said, "The next morning, the patient woke up and everything was normal. I've kept it in my mind ever since. ”

"It's kind of clinical experience."

"Judging from this detail, it is certainly not the first time that Dr. Xiao Luo has come into contact with similar patients, and he repeatedly emphasized this point in his medical history."

"There is another ......"

Deputy Director Liu casually said what he saw.

The smile on Lin Yuming's face became more and more intense.

Luo Hao, that's good.

……

"This is minimally invasive surgery, and it is the direction of future medical development." Luo Hao explained to the patient's family, "The teachers of the medical university are very high-level, and they are at least among the top three in the province, so this minor illness must be fine." ”