3 Newbie quest completed
"Dr. Luo, I have heard that for ovarian cyst surgery, even if it is minimally invasive, you have to lie in bed for three days. We're going to walk back and don't move the knife edge, and there will be any accidents in the future. ”
The patient's family was a little apprehensive.
"That's right, the earliest ovarian cyst surgery had to open the abdomen, about such a large incision."
Luo Hao made an incision of about 10cm with his hand.
"Open the skin and muscles, enter the abdominal cavity and completely peel off the cyst, so as to achieve the goal of complete healing."
"Laparoscopic surgery began in the clinic more than a decade ago, and this procedure usually involves making a hole near the belly button eye and using equipment to peel off the cyst. However, after all, it is not as convenient as operating by hand under direct vision, so the most I do is not radical surgery, but decompression. ”
Decompression, as the name suggests, is not difficult to understand.
Luo Hao briefly talked about the surgical method.
"The advantage of this type of surgery is that it is less traumatic, and the disadvantage is that it is more prone to recurrence and higher cost than open surgery."
"And what about the surgery we did?" The patient and the patient's family looked up at Luo Hao at the same time.
"The liquid inside is pumped out, and then solidified with alcohol or drugs with a similar principle of action, so that the cyst no longer oozes or oozes less, so as to achieve the purpose of treatment."
Although Luo Hao had said these words to the patients and their families many times, when they asked at this time, Luo Hao still took the trouble to explain them again.
Luo Hao was not impatient, as if it was the first time to explain to the patient and the patient's family.
"The advantages of this surgery are that it is almost invasive, the risk is particularly low, and the recurrence rate after surgery is not high."
"What about the downsides?!" The patient and the patient's family asked in unison.
"From my point of view and perception, there are no shortcomings."
“……”
The patient and the patient's family hesitated for a moment, and always felt that Dr. Luo Haoluo's statement was not credible.
There is no such thing as a flaw.
"Doctor Luo, can this kind of surgery be done cleanly?"
"Whether it is laparotomy, laparoscopy, puncture and curing surgery, there is a certain probability of recurrence. The recurrence rate of our surgery is similar to that of laparoscopic surgery, which is not high. Luo Hao continued to explain, "However, no matter how minimally invasive laparoscopic surgery is, a lens and two forceps must be inserted into the incision. ”
"It has an impact on the peritoneum and the adventitia of the abdominal organs, and there will be a risk of intestinal adhesion and intestinal obstruction in the future. Our interventional surgery is different, what impact can a needle penetrate, right? ”
The patient and the patient's family looked at each other, feeling that what Luo Hao said made sense.
After thinking for a few seconds, the patient's lover asked, "Dr. Luo, tell me the truth, is it particularly easy to relapse after surgery?" ”
"The recurrence rate ......"
At this time, the various professional materials in the system library showed their role.
Luo Hao quoted scriptures, and the patient's family held their mobile phones to find answers on the Internet.
Obviously, the answers on the Internet, which vary in percentages ranging from 5% to 50% recurrence rates, do not satisfy the families.
Relatively speaking, it is more convincing for Luo Hao to cite the data of the world's top journals and magazines.
"The recurrence rate after surgery is not high, that's for sure. In terms of recurrence rate alone, the lowest is laparotomy and resection, but this type of surgery is very damaging. ”
"To be honest, even if it recurs in the future, let's just puncture it again. You see, twenty minutes of operation time, walk back to the ward after surgery, and be discharged tomorrow morning if you are fine, I don't think it makes much sense to worry about recurrence or not. ”
"If it recurs within three years, it's good to have another puncture."
"But ......"
A sunny smile appeared on Luo Hao's face, "I understand what you mean, both doctors and patients want to be cured. Believe me, doctors are no less eager to cure their diseases than their patients. ”
"Unfortunately, modern science limits that the vast majority of diseases cannot be cured."
"For example, high blood pressure, diabetes, and coronary heart disease can only be controlled, and there is no cure."
"Back to the ovarian cyst, even if it is the most damaging laparotomy, there is a recurrence probability of about 5%."
Under Luo Hao's earnest explanation, the faces of the patients and their families gradually calmed down, and they understood a little bit in the tireless explanations over and over again.
Since recurrence cannot be avoided, treatment with the least invasive surgical procedure should be the best option.
Half an hour passed.
Deputy Director Liu looked at the patient's state, and cautiously gave the patient a B-ultrasound, but did not find any problems, so he accompanied the patient back to the ward with Lin Yuming and comforted the patient for a few words before leaving.
Lin Yuming arranged the meal, and Deputy Director Liu asked Luo Hao to sit beside him and asked some details.
As for eating, he just ate a few bites and was full.
made an appointment to find more than 3 patients on this side, and Deputy Director Liu came for surgery again, so he sent Deputy Director Liu away.
"Little Snail, you had a similar operation in Concord?" Lin Yuming watched Deputy Director Liu leave, and asked impatiently without waiting for the figure to disappear.
"I've seen how many other teachers have done."
"How many? See? ”
"Hmm." Luo Hao nodded and smiled back.
Deputy Director Liu judged that Luo Hao had made at least a few hundred units, and Lin Yuming was not very surprised by such a disparity in proportion, on the contrary, he was a little happy.
The little snail is a genius, a genius!!
Children who can be admitted to the eight-year bachelor's, master's and doctoral programs of Concord have a bad brain.
Although his alma mater used to be a medical school, this medical school is not the other medical school.
People don't want to call it a medical university, and their alma mater is still called a medical college when they are in school, so can it be the same!
"Director Lin, would you like to tell Director Sun?" Luo Hao leaned in and whispered.
"You don't have to worry about the patient's business, more than a dozen patients with ovarian cysts can't be accepted, and I, the medical director, have done it for nothing."
Luo Hao was overjoyed when he heard Lin Yuming say this.
The system task requires 10 ovarian cyst surgeries to be completed within 1 month, and Luo Hao, who just assisted Deputy Director Liu, saw that the task bar on the system panel in the upper right corner of the field of vision had not changed, and the system should not think that it was done by itself.
That is, when the assistant completes the operation, it does not count.
"Xiaoluo, next time I'll give you a chance to complete the operation independently."
"Good!"
Luo Hao and Lin Yuming whispered quietly, and Director Sun frowned and leaned over.
"Director Lin......"
"Director Sun, if you have any questions, just say it."
"Light piercing, can this work?" Director Sun hesitated for a long time and then asked.
Lin Yuming gave Luo Hao a look, Luo Hao was tiptoeing away, and after seeing the eyes, he strode away.
"Director Sun, what do you think is not going to work?" Lin Yuming asked.
"Our department ......"
"Director Sun, times are different." Lin Yuming's tone was solemn, his eyes narrowed and he squinted at Director Sun, and said coldly, "If you don't change, you can only be eliminated by the times." ”
“……”
Director Sun's concluding remarks.
"I'm forty-eight, you're five years younger than me, how can you think older than me." Lin Yuming said.
Speaking of getting old, Director Sun was slightly stunned.
"It's not to open a yellow tongue, but to state a fact. Over the years, I've been reading farther and farther away, and peeing is getting closer and closer; Lying down and not falling asleep, sitting and dozing off; I can't forget the things in the past, and I can't remember the things that are now. ”
When he said this, Director Sun almost didn't cry.
Back then, she was also a well-known beauty doctor in the hospital, but who could bear Shaohua's old age.
"Once upon a time, I saw a girl dressed in cool clothes, and all I thought about was all that mess. Now that I saw it, I thought that if my girl dared to wear it like this, I would break her dog's legs. ”
"Poof~" Director Sun empathized and laughed.
"Director Sun, I came a few years before you, and we are old comrades-in-arms who have been fighting in the trenches for decades. Let me tell you something from the bottom of my heart, the general environment has changed, and we can't go back. ”
"If you don't change, you'll be eliminated."
Lin Yuming said this sentence again and looked at Director Sun deeply, "Our mine manager has no interventional department now, I will take the lead, you cooperate with Director Li of the B-ultrasound room, and the patient will be released in your ward, and the specific account sharing will definitely not make you suffer." ”
Director Sun nodded a little dazedly.
The two got into the car separately, and Lin Yuming sighed.
"Director Lin, what's wrong?" Luo Hao asked.
"It's just that it's good to be young." Lin Yuming said enviously, "I was waiting hard at your age, and now I am waiting hard." ”
"Hahaha." Luo Hao laughed.
"When people are old, they don't want to take risks, and they always like to lie in their comfort zone. They have to be pushed harder......"
Lin Yuming said while looking sideways at Luo Hao.
"Uncle, what do you see me doing?"
"Hey." Lin Yuming snorted, "Little Snail, have you thought about your future?" ”
"Not for the time being, I'm still learning techniques, such as puncture techniques."
Lin Yuming didn't continue to say more, and drove back to the hospital.
Next, Luo Hao saw the energy of Lin Yuming, the medical director.
Turning on the computer, Lin Yuming skillfully pulled out the database and entered the ovarian cyst.
"Xiaoluo, do you know why I don't let go of the physical examination center?" Lin Yuming asked as he screened patients.
"They say that the bonus of the physical examination center is high and very fat." Luo Hao said.
"!" Lin Yu reprimanded, "That's just the outside, the physical examination center is one of the driving forces in the future, it is the source of patients, you will understand it slowly." ”
Luo Hao stood behind Lin Yuming and nodded.
Soon, Lin Yuming selected the patients and personally called them one by one to communicate.
In addition to the ten patients who spent money to hire experts for surgery, Lin Yuming also screened more than a dozen patients to see if they could have surgery.
2,000 yuan is just a meal for some people, but for others, it is a year's income.
For this kind of people who have no money, Lin Yuming patted his chest and ensured that the doctor of the mine would do the operation, and although the experts invited did not stretch out their hands, they would supervise the whole process, and the overall level of the operation would not be much lower than that of the experts. Once there is a problem, the expert will come to solve it without incurring excessive costs.
This is a compromise that many patients readily accept.
This is not enough, Lin Yuming learned about the patient's situation with "acquaintances" in various places in advance, and screened out those who had a lot of things, hypocrisy, and possible accidents.
Lin Yuming acted extremely old and spicy, and he broke his heart for Luo Hao.
It has to be my uncle who cares about himself, Luo Hao knows it. If you don't have an uncle, it's hard to complete the first novice task by yourself.
After screening the patients and contacting the hospital, Lin Yuming worked tirelessly to do countless work, and Luo Hao didn't understand some things too much.
Over the weekend, Deputy Director Liu rushed over again.
This time he saw Luo Hao obviously close, technology is close to technology, who doesn't like an assistant with a smile on his face and a high level.
Ten patients were done quickly, and after the next patient came in, Deputy Director Liu automatically stood aside and gave Luo Hao a look.
Luo Hao picked up the B-ultrasound probe and began to do B-ultrasound on the patient to determine the location.
In the system operating room, Luo Hao has done more than 100 similar puncture and curing surgeries, and now it is very easy to do.
Positioning, Luo Hao glanced back at Deputy Director Liu.
"Hmm." Deputy Director Liu nodded, there was no mistake, even if he did it himself, at most to this extent.
Deputy Director Liu did not puncture, but took the B-ultrasound probe to help Luo Hao hold it down and let Luo Hao do it.
"The surgery was quick, rest assured." Deputy Director Liu watched Luo Hao's movements while reassuring the patient, "I will do about 2,000 cases of similar surgeries every year in my first year of medical college. ”
The patient was a little nervous, her face turned pale, and she tried to squeeze out a smile after hearing Deputy Director Liu's words.
"Minor surgery, not even surgery, just a minor disposition."
"Director Liu, Sister Ma in our village was what you did in the first year of the Medical University, it's been five years, and there is nothing to do, I can rest assured."
"That's right, let's go to your clinic and get an infusion."
The patient nodded.
Deputy Director Liu watched Luo Hao puncture, pulled out the pale yellow ovarian cyst effusion, and said lightly, "It's the same as the infusion, prick a needle." I heard Dr. Luo say you can drink? ”
"Hey, the old men in our village can't drink me, two bottles of white are no problem."
"That's good."
Deputy Director Liu chatted lightly with the patient, he was going to free up one hand to help, but Luo Hao operated at a glance, and every step seemed to be fast, but it was not in a hurry.
Even if he wanted to help, Deputy Director Liu didn't know where to start, so he simply held the probe and concentrated on chatting with the patient.
After 12 minutes, the curing was over, and Luo Hao pulled out the needle.
Deputy Director Liu cautiously used the B-ultrasound probe to repeatedly scan the location of the ovarian cyst.
There was no effusion, no signs of bleeding, and the surgery was done fairly cleanly.
If you hadn't seen it with your own eyes, you wouldn't have believed that this operation was performed by a young doctor in his twenties.
"When I'm done, go out and sit down for a while, and then I'll go back to the ward when I see it." Deputy Director Liu said.
"Done?!" The patient was surprised.
"Minimally invasive surgery, you think it's a big surgery?" Deputy Director Liu said, "If you have any feelings, I don't do 2,000 surgeries a year in vain. ”
Luo Hao felt a little embarrassed when he said this.
But Deputy Director Liu is helping himself to speak, not taking credit, Luo Hao knows it in his heart.
On the system panel in the upper right corner of the field of vision, the progress bar under the newbie mission has finally moved!
One example!
Luo Hao was particularly pleased.
The patient is thankful and gone, and the next patient comes in.
Although there was a successful experience, Deputy Director Liu did not relax his vigilance, and his eyes were always on Luo Hao's every move.
Luo Hao is the same, he can't say that he is nervous, he carefully does every step to achieve the upper limit of his level.
Until it was about to get dark and the tenth patient was done, Luo Hao heard a crisp sound of "Ding Dong~" in his ears.
The system gives an exaggerated and splendid celebration of fireworks, and the rookie mission is completed!
[Beginner's Mission: Complete 10 ovarian treatment surgeries.]
Duration: 1 month
Rewards: +1 for random basic attribute points, +1 for surgical skill level.
Special Reward: Starter Pack ×1. 】
Luo Hao thought about it and added random attribute points to the luck value.
In his opinion, nothing can catch up with luck, if it weren't for the 32 lucky points, it is estimated that he would not be able to see the system.
After adding points, the luck value becomes 33 points.
In addition, the surgical skill +1 is automatically generated, and Luo Hao's surgical skill has changed from level 3 to level 4.
After upgrading, Luo Hao felt that he had changed dramatically.
Hand-eye coordination has improved imperceptibly, finger dexterity has also changed by leaps and bounds, and there are some others.
"Ding Dong~"
After the novice task was completed, another task prompt sounded in Luo Hao's ears.
[Main Quest: Less Damage, More Possibilities (Phase 1)]
Task content: Complete 100 interventional surgeries.
Mission duration: three months
Rewards: +1 random attribute points, 100,000 experience points. 】
Looking at the content of the task, Luo Hao vaguely understood what the novice task gave him.
Surgical skill +1, this kind of reward against the sky will not be available every day, and you will have to accumulate experience points in the future before you can climb the skill.
In addition, there is a big gift package, which is now undergoing surgery, and Luo Hao has not opened it.
He moved his lower fingers, adjusted to the changes in his lower body, and then began the next operation.
Seeing Luo Hao undergo surgery, Deputy Director Liu felt that he was old, and his eyes were a little dazzled.
Luo Hao's ovarian cyst puncture and curing surgery was really good before, and it can even be said that it is on par with himself...... No, it's just a little bit worse than yourself.
However, after some surgical experience, Luo Hao grew extremely rapidly, and his surgical skills improved at a speed visible to the naked eye.
Now Luo Hao's surgical level has surpassed himself.
Is this genius?
Deputy Director Liu was a little confused.
Although his former alma mater was a secondary school health school to a junior college, and from a junior college to an undergraduate, in 2000, he began to recruit graduate students. However, the major of animal husbandry imaging was established very early, and even has a certain reputation in China.
After graduation, he stayed in the first-class hospital in the province to work, until now he has become an expert in the province, Deputy Director Liu has long had an illusion - the heroes of the world are nothing more than this.
Today, after seeing the outstanding learning talent of an eight-year doctoral student of Concord, he inevitably felt a little emotional, and even helpless.
With this talent, I can't catch it no matter what.
Is it really that strong?
Deputy Director Liu looked helplessly at Luo Hao, who was concentrating on the operation, and his mentality changed.
In the past, I took the children of old classmates to help check the gates, treat patients and let children practice their hands, and play a role in passing on the help.
And now, Deputy Director Liu has unconsciously begun to examine Luo Hao's series of operations with a faulty eye.
However!
When Deputy Director Liu began to examine with a critical gaze, he found something even more terrifying - Luo Hao's operation was impeccable! At least at his level, he couldn't find any problems.
This!
How can it be!!
Deputy Director Liu does surgery, so he knows very well that the surgeon also depends on the state of the operation.
Only about 10% of the surgeries are difficult to find faults, but it is only difficult, not impossible to pick out.
But now the young man in front of me has no problem with the operation at all!
Terrifying!
The B-ultrasound room was very quiet, only the sound of straw made by Luo Hao's intermittent operation.
After the remaining operations were completed cleanly and quickly, Luo Hao breathed a sigh of relief.
"Doctor Luo, you ...... The surgery was really skilled. Deputy Director Liu praised astringently.
"It's okay, it's okay." Luo Hao was wearing a sterile mask, but the mask couldn't hide his smile at all.
After completing the novice task, the ovarian cyst puncture sclerosis has made progress by leaps and bounds, how can Luo Hao not be happy.
Looking at Luo Hao's expression that seemed to be able to shine, Deputy Director Liu was in a complicated mood.
"Sixth, do you want to see the patients in the circle?" Lin Yuming saw that Deputy Director Liu had not spoken, for fear that Luo Hao's surgery would cause problems, so he asked in a low voice.
"Take a look, and if you're okay, you can eat at ease."
Hearing Liu Haisen talk about eating, Lin Yuming was relieved.
Several people looked around the patients who had just undergone surgery.
Some patients are lying on the bed and scrolling on their phones, some are sitting and chatting with their families, and even meet a person who is sneaking around and preparing to go home.
"Small trauma is sometimes not a good thing, and patients who have undergone puncture sclerosis go home directly, what if something happens." Lin Yuming commented.
"We have long classified this type of surgery as a day surgery, and after three to four hours of observation, the patient can go home."
"Day surgery!"
"Not to mention puncture, now thoracoscopic incision of small lung nodules, some patients with mild symptoms have become day surgery."
"Don't you want to put down the chest bottle?" Lin Yuming was shocked this time.
Looking at Boss Lin's expression, Deputy Director Liu felt that he had finally found some ground, and said with a smile, "The trauma is small, and if you don't get off the chest bottle, you can go home after 6-8 hours of postoperative observation." ”
“!!!”
Lin Yuming didn't expect the outside world to change to the point where he didn't know it.
The operation of the lobes of the lungs did not even go down to the chest bottle!
This is too magical for Lin Yuming.
"Boss Lin, have time to go to my side and have a look. The technology in our province has been following the Imperial Capital Demon, and it is less than two years worse than the highest level in China. ”
Speaking of this, Deputy Director Liu had a smug smile on his face.
High-level hospitals and lower-level hospitals are more technical than the technical level, which is a dimensionality reduction blow, and the two are not in the same grade at all.
Lin Yuming was a little surprised, the temper of the sixth child in the same bed has always been amiable, low-key and introverted.
What's going on today?
I actually found a sense of superiority in myself.
However, Lin Yuming didn't start on this matter, and after saying a few flattering words, he took Deputy Director Liu to dinner.
The road is getting further and further away, and I see that I have reached the inaccessible urban-rural junction.
"Boss Lin, what are you going to take me to eat?" Deputy Director Liu was puzzled.
"Hey." Lin Yuming smiled, "Sixth, I was in a hurry last time, and the hospitality was not good. I'll take you to eat something good today, and then next time you come back, I'm not welcome, I'll surprise you. ”
Deputy Director Liu glanced at the surrounding barrenness, coupled with Boss Lin's tone, and guessed something.
"Boss Lin, will you take me to eat that kind of wild meat that will be sentenced to ten years if you are not careful?"
"You have to be from the provincial city, and you've seen it. You'll know what to eat when I mention it. ”
"No, I'm going to die." Deputy Director Liu's face suddenly became ugly.
"Oh, that's all before." Lin Yuming laughed and explained, "In the past, there was a shop that made wild meat, and it was not a pretense, but only entertained regular customers. Right now? A while ago, there was a fisherman fishing in the wetland, and he happened to see a nest of bird eggs, so he touched it home and cooked it. ”
"It's bold."
"As a result, it was a national second-class protected animal, and he was directly sentenced to 8 years, tsk." Lin Yuming sighed twice, "In other words, the ecology is getting better and better now, and the foxes in our countryside are not afraid of people, and they go to eat and drink at home every day." ”
"Don't you steal chickens?"
"There are large pieces of beef and mutton, who still eats chicken." Lin Yuming said, "Catching up with the heavy snow blocking the mountain, there are bold foxes who go directly to the kang in the tunzi to spend the winter." ”
“!!!”
"What we eat today is definitely not illegal in the place of origin, you can eat it with confidence."
Deputy Director Liu pondered Lin Yuming's words in his mind, and broke out in a cold sweat.
"It's not illegal to make it, it's illegal here, right?"
"Imported from Russia, why do you ask so much. The Manchu and Han don't eat all the seats, so they have to eat so many things. ”
"Boss Lin, you ......"
As he was talking, Lin Yuming's mobile phone rang.
"Hello?" Lin Yuming greeted casually, and hurriedly took over and began to talk about things.
Lin Yuming's face became more and more ugly, gloomy as if it was dripping water.
"Boss Lin, what's wrong?"