5 All the people are coming, and you will show me this?
"You really have faith in your uncle." Liu Haisen joked.
"He's the head of the medical department of the mine." Luo Hao said something that seemed unrelated.
Deputy Director Liu was stunned for a moment.
Liu Haisen, a good person, has seen a lot, and most of the ends are miserable.
In the end, those people can only secretly feel sad and say whining things like the ancient people's hearts, but they can't do anything they want to do.
Boss Lin is the director of the medical department of the prefecture-level hospital, and judging from the attitude of the director of the obstetrics and gynecology department towards him, he is still a very strong director of the medical department.
It's just that you can't do that with the words of a good person.
Deputy Director Liu took the opportunity to remember the personality of Boss Lin when he was in school, laughed at himself, and felt that there was no need to worry about Boss Lin, so he turned around and asked, "Doctor Luo, are you sure?" ”
"Teacher Liu, I'm not completely sure." Luo Hao replied calmly, "But a dead horse is a live horse doctor, and it is better to have hope than no hope." ”
Similar words were often heard by Deputy Director Liu more than ten or twenty years ago, but now they are heard less and less.
In the 3.0 era of doctor-patient disputes, there were very few people who dared to say this and do so.
He perked up and felt that things were getting more and more interesting.
Not only for Boss Lin, but also for this energetic young man.
"Doctor Xiaoluo, I don't understand the infusion formula you just mentioned. Tell me about it. Liu Haisen pulled Luo Hao frankly.
A few hours later.
Lin Yuming called Liu Haisen, Luo Hao, and Director Sun of the Department of Obstetrics and Gynecology to a conference room.
Next to the main seat of the conference room sat an old man with a combed hair, gray hair, as if snow had fallen.
The old man is physically strong and mentally strong.
"Lao Xu, this is an expert from the First Hospital of the Medical University." Lin Yuming introduced, "Director Liu, this is the old branch secretary of the village of pregnant women. ”
!!!
Liu Haisen looked at the energetic old man, and felt a little dazed.
As for the effort!
When the pregnant woman appears in another hospital, there is a high probability that the doctor will say in an apologetic tone - I'm sorry, our technical level is not enough, and it is recommended to go to a higher hospital to continue treatment.
Kind-hearted people will also recommend hospitals and doctors with high technical skills that they think are better, so that the patient's family will not find the right person like a fly, but that's all.
But Boss Lin took a lot of trouble and did not hesitate to invite the local old branch secretary.
Some toss, very toss.
But from another point of view, Lin Yuming Lin is very wide-ranging. He can invite the old branch secretary of any patient's natural village, if it is not a coincidence, it must have a deeper meaning.
In recent years, Liu Haisen has become more and more silent, and older people are like this.
He felt like he was mentally retarded when talking to smart people; Talking to the mentally retarded makes me feel more like the mentally retarded.
Only by shutting up did Liu Haisen feel better.
It's good to see a doctor, earn money, and support a family.
But when he saw Boss Lin, who was sitting next to the old branch secretary and whispering, the changes in his heart over the years began to waver.
The spirit of his youth came up unconsciously.
"Xiao Zhou."
After everyone arrived, the old branch secretary cleared his throat and said to the pregnant woman's husband.
"Old branch secretary, why are you here?"
"I'm also anxious about Erya's affairs." The old branch secretary said solemnly, "Director Lin has communicated with me, and you know the situation, do your best to obey the destiny of heaven." ”
"Yes, yes, yes."
The pregnant woman's husband nodded repeatedly.
Then the old branch secretary said some more words, but in Deputy Director Liu's opinion, it was no longer important.
Boss Lin is indeed powerful!
If you want to be a good person, you have to have the ability to go to heaven and earth, and Boss Lin wants it!
Luo Hao stood in the corner obediently, he saw everything in his eyes.
This is part of the clinical experience, Luo Hao sees it in his eyes and remembers it in his heart.
At the same time, Luo Hao constantly recalled the umbilical vein puncture technique and simulated it in his mind.
He has trained many times in the system space, and it is not an exaggeration to say that he can do it with his eyes closed.
If you get started, it should be no problem, Luo Hao gave himself an "objective" evaluation.
And the eldest uncle Lin Yuming invited the old branch secretary to sit in charge, but he had the last concern.
The doctors did their best, the patients and their families never complained, and the medical treatment returned to the original state.
The staff of the medical department contacted the central blood bank through the director of the blood transfusion department, and the matching was completed.
The pregnant woman was sent to the ultrasound room, and all kinds of rescue drugs were prepared.
"Teacher Liu, please." Luo Hao let Deputy Director Liu in.
B-ultrasound positioning, local disinfection, laying a sterile sheet, B-ultrasound probe tied to the sterile sleeve to find the positioning position, Luo Hao's eyes stared at the screen, and he held the puncture needle in his right hand and began to do umbilical vein puncture.
Deputy Director Liu's level is very high, and Luo Hao can clearly see the images of the umbilical vein and the puncture needle on the B-ultrasound screen.
The two did not communicate verbally, as if they were old partners who had worked together for more than ten years, one was sweeping the B ultrasound, and the other was doing punctures, tacit and natural.
The ultrasound image exposed the position of the puncture needle clearly, and soon the puncture needle came to the vicinity of the umbilical vein.
The diameter of the umbilical vein in full-term women is about 7-8mm.
The patient in front of her was 27 weeks pregnant and had an umbilical vein diameter of less than 5 mm.
Moreover, the veins are not on the surface of the body, so they cannot be seen directly with the naked eye, so they can only be replaced by B-ultrasound, and the difficulty rises sharply.
Luo Hao held his breath and concentrated, and gently pressed his left hand on the pregnant woman's abdomen, trying to avoid slight tremors; Holding a puncture needle in his right hand and looking at the screen with his eyes.
The puncture needle moved forward slowly but firmly, and Luo Hao, whose surgical skills had reached level 4, started "low-level" surgery with ease.
The diameter of the umbilical vein is only 5mm, but in Luo Hao's eyes, it seems to be as vast as the sea.
The puncture needle accurately punctures the umbilical vein without accident, and the puncture is completed at an angle of 30°.
A special infusion tube was inserted, and the umbilical vein was fixed and the operation was completed.
There were no waves, and the time only took less than 5 minutes, the old branch secretary saw Luo Hao take off his gloves, frowned and asked, "Xiao Linzi, is this the end?" ”
"Huh?"
"Ahh
Lin Yuming sighed twice.
The old branch secretary didn't understand the difficulty of puncture, but Lin Yuming understood.
The nurses with the best drip techniques in the hospital are all in the pediatric department.
A skilled veteran nurse can hit the nail on the head with a scalp needle and put the needle into a vein before the child cries.
But there are fewer and fewer such old nurses, and parents are becoming less and less tolerant.
The diameter of the veins in the child's head is similar to the diameter of the umbilical vein, or even slightly thicker, and on the surface of the body, the difficulty is not the same as the difficulty of Luo Hao's puncture.
Luo Hao is not obvious, and he hits the nail on the head, this is definitely the level of the sky.
I didn't expect the technical level of my eldest nephew, who has been silent, to this point.
Lin Yuming was already prepared to fail, even if the piercing was successful, he would have to try at least three or five times.
I didn't expect ......
I never expected it......
"Xiao Linzi, you pulled me all the way over, just look at this?!" The old branch secretary asked.
"Harm." Lin Yuming "woke up", smiled and pulled the old branch secretary's arm and said, "Old branch secretary, I won't tell you that the young man who did the operation is my nephew." ”
"He's a student of a quasi-academician, and his level is this!"
As he spoke, Lin Yuming gave a thumbs up.
Although the old branch secretary didn't think so, he still gave Lin Yuming face and bowed slightly.
"It looks simple, that's because of his high level, let's put it this way, no one can do it just now."
As he spoke, Lin Yuming licked his chest and raised his head, full of pride.
After sending the pregnant woman to the intensive care unit and making all the arrangements, Luo Hao did not leave, but directly moved a chair and sat beside the bed to stare at the micropump used for blood transfusion.
Not to mention that the medical staff of the mine has no experience in this kind of operation, even Liu Haisen has never seen it.
Lin Yuming didn't greet Luo Hao to go to dinner together, leaving him to take care of the pregnant woman, and asked him to call him immediately if he had anything.
……
"Doctor Luo, aren't you in the medical office, why are you still coming to take care of patients?" The doctor in the ICU asked curiously.
"Everywhere is the life of cattle and horses, and you have to work everywhere." Luo Hao said with a smile.
The doctor in the ICU was speechless and gave a thumbs up.
"The mules in the village still cost 600 yuan a day, and we are not as busy as mules for a day." The doctor in the ICU complained.
"Harm." Luo Hao smiled brightly, "That's what I said, but I can't receive that money mule." ”
The doctor in the ICU was stunned, she didn't expect this angle.
Although the doctor in the ICU always felt that something was wrong, Luo Hao smiled beautifully, and she didn't want to refute it.
"Thankfully, when you told me that there was such a patient to be turned around, my head was big."
"It's okay, there's me." Luo Hao said, "When I was in school, I saw similar patients and knew how to treat them. ”
As he spoke, Luo Hao glanced at the system panel.
There is a progress bar underneath the emergency mission, and the progress is halfway through.
"Otherwise, it's going to be Concord, Huaxi." Doctors in the ICU are envious.
Luo Hao chatted with the doctors and nurses in the ICU for a while, gave the doctor's order to collect blood, read the test sheet, and adjust the speed of blood transfusion.
Although Luo Hao has no similar clinical experience, the system is open, as long as he follows the steps written in the books in the system library, it is not difficult for Luo Hao.
In fact, the best treatment for twins with anemia and multiple blood sequences combined with selective fetal growth restriction is interventional surgery.
Theoretically, the probability of cure with catheter-embolized surgery is 100%, which is much higher than the success rate of umbilical vein puncture and blood transfusion.
However, the level of interventional embolization surgery of the fetus is extremely high, Luo Hao can see this operation, the operation is gray, and it has not yet been opened, and he can't do it for the time being.
Depending on the grade, the level of surgery can only be done until level 8.
Level 8 surgery, Luo Hao sighed.
I have an endless body teacher to feed, and I am not stupid, and I have only done 8 years of surgical training at the level of 3 surgery.
In addition, the system novice benefits have improved the level 1 surgical skills, and he can only do level 4 surgery, which is enough to crush the vast majority of doctors in the mine.
But there are countless surgeries that can't be done at this level.
There is still a long way to go.
Luo Hao did not have the slightest smugness, and carefully took care of the patient.
With the infusion of fresh blood, the indicators of the fetus have improved significantly.
After stabilization, Luo Hao did not rush to tell the patient's family members who were guarding the door about the "good news".
This kind of thing has to be done by Director Lin, and Luo Hao is very clear.
As time passed, the progress bar under [Urgent Mission: Rescue] slowly and steadily advanced.
Three days later, Luo Hao finally waited for the task to be completed.
The crisp sound of "Ding Dong~" is so pleasant, Luo Hao is satisfied.
[Emergency Mission: Rescue completed.]
Task content: The correct diagnosis is still in the fog, the fetus still has a chance to live, please save the fetus.
Mission duration: 3 days.
Reward: 10,000 XP. 】
He didn't rush to tell Director Lin that the patient was out of danger and only needed a blood transfusion once a week, but stared at the system panel in the upper right corner of the field of vision and tried to use the experience points.
10,000 XP seems like a lot, and it can be used after the surgical skill, and the progress bar only moves forward a little.
Luo Hao even felt that this progress was negligible.
Level 4 skills require 1000000 experience points, and similar tasks need to be done at least 100, Luo Hao's mouth is a little bitter.
It's slow.
But when I think about it, I also know that it took me nearly 8 years to improve my clinical surgery skills to level 3 with the help of infinite teachers.
The further back you go, the harder it gets, that's for sure.
Otherwise, there wouldn't be a specific idiom to describe this thing - a hundred feet to go one step further.
Looking at it this way, the reward of +1 for surgical skills in the novice quest can be called rebellious.
Take your time, you can't eat a fat man in one bite.
Luo Hao sighed and called Director Lin from the ICU to report the patient's situation.
The patient is transferred out of the ICU and back to a single room in the obstetrics and gynecology department.
Director Lin also rushed over, and saw that the pregnant woman and the fetus were in a stable state, and only left with Luo Hao after explaining to the patient's family with a red face.
"Little Snail, good."
"Okay." Luo Hao smiled, "Isn't this the scope of practice that Director Lin got me?" If I didn't have a license in obstetrics and gynecology and imaging, I wouldn't have dared to do it. ”
Luo Hao buttoned up a big hat and made Director Lin speechless.
"Recently, you have led people to sit in the obstetrics and gynecology department, and strive to solve the problems of obstetrics and gynecology."
"Director Lin, what if it can't be solved?" Luo Hao asked.
"Then I'll solve Director Sun." Director Lin replied expressionlessly.
The general situation cannot be changed, and if it cannot be solved, then it will have to solve the person who created the problem.
"How to fix it?" Luo Hao asked tentatively.
"The vacancy rate was too high, so I merged the obstetrics and gynecology department with other departments." Lin Yuming said lightly, "If she can't do it, then use other methods." Why do you ask this? ”
"Hey."
"Go home and see, your mother has called me several times these days." Lin Yuming said, "Hurry back, I'm about to be beaten to death by your mother." ”
"Okay." Luo Hao agreed crisply.
"Luo Hao, make one thing clear to you." Lin Yuming said in a low voice.
Luo Hao was stunned, the smile on his face retracted, and he stood in front of Lin Yuming seriously.
Uncle rarely calls himself by his full name, and usually calls himself the nickname Xiaoluo.
Say the full name, there will be a big thing.
"I'm going to let you do it in the clinic for a while."
Luo Hao nodded.
"It's hard at the grassroots level, and many people don't go, but you're different. When others go down to the grassroots level, they can't handle so many complicated things at all, and their true form will be revealed in the blink of an eye. But what ...... you?"
Lin Yuming said, looking Luo Hao up and down.
Luo Hao sighed in his heart, he was a doctor, how could he resist the clinic.
Although the clinic is busy, tired, and easy to beat, he still doesn't make money.
First of all, he is not short of money, and secondly, he has Lin Yuming's medical office as his backing, and there is nothing to be afraid of.
"Good job." Lin Yuming raised his hand and patted Luo Hao's shoulder, full of earnestness.
It was time for Luo Hao to go home, and he stayed in front of the patient's bed for three days and three nights, although he could wash and take a bath, and he was not hungry, but the tiredness still overflowed from his bones.
Going home with the sign 307 of I don't know how many hands, Luo Hao took the key to open the door, and the smell of food greeted him.
"My family's unlucky baby earns 6,000 yuan a month, what is this money enough for now."
"That's it, he didn't know that he was saving to marry a daughter-in-law, and he bought me a lot of useless things as soon as he paid his salary."
"Xiaolin, you said that today's children are like this."
The second aunt next door sat on the sofa and chatted with Luo Hao's mother while eating melon seeds.
When she said that she was 6,000 yuan a month, her saliva splashed, and the skin of melon seeds almost spit on Luo Hao's face.
"I'm back, I'm hungry." Luo Hao's mother saw Luo Hao coming home and got up to prepare the meal.
It's good to have a mother, Luo Hao smiled.
"Aunt Wang, let's eat some together."
"If you don't eat it, it's not okay to be by that bastard boy in my family." Aunt Wang next door said, "He is not like you, the wind can't blow and rain in the hospital, and you can eat until you get old if you learn the skills well." The people in the agency compound are very sophisticated, and such a little baby doesn't even dare to say more every day......"
Aunt Wang talked about the compound of the institution, and her eyes were bright and snowy.
"God-given has a great future, and it is powerful." Luo Hao praised it.
"How can you be amazing, the eight-year system of Concord, the champion of the city's college entrance examination that year! Little Snail, you make a lot of money in the hospital. ”
"Not much, three or four thousand a month."
"So little? Impossible, absolutely impossible. ”
"Hospitals are public welfare and don't make money." Luo Hao smiled perfunctorily.
When Aunt Wang saw Luo Hao say that she earned less, the smile on her face became more and more proud.
Luo Hao accompanied Aunt Wang next door to talk, and after a few minutes the meal was served, Aunt Wang left satisfied.
"You didn't show it to your aunt Wang." Lin Yuejuan asked.
Lin Yuejuan looked very young, there were fine wrinkles at the corners of her eyes, but they were not deep, and the years had not left too many traces on her face, but added a bit of charm.
"No, the anti-corruption in medical care is very strong now." Luo Hao sat down on the table with a smile and began to pull the food, eating very deliciously.
"Okay, keep it low. Every month, such a large amount of money is transferred in, and I am not very sure about holding it. Lin Yuejuan said.
"There's nothing unsteady, but I said Mom, you just let me drive the sign 307 that I don't know how many hands, or manual transmission, I'm tired of driving, can I change to a new car."
"No, it's good to have a car at your age." Lin Yuejuan did not hesitate to deny Luo Hao's "unreasonable" request.
Every month, the trust company will transfer a large amount of money to the account, which is about the same as Lin Yuejuan's lifetime income.
Lin Yuejuan listened to Luo Hao talk about the origin of this money, although there is no problem, it is always right to keep a low profile.
"Your uncle is going to introduce you to a girlfriend recently, do you want to meet him?" Lin Yuejuan asked.
"Can you see it?"
"If you don't want to, you won't see, be single for one minute, be happy for 60 seconds." Lin Yuejuan said with a smile.
Luo Hao's smile is inherited from Lin Yuejuan.
"How can my uncle be more concerned than you."
"Old feudal, I always feel that I must have a child." Lin Yuejuan said, "Let's talk about it first, I won't stop you from meeting a suitable person who wants to get married, but don't expect me to show you the child." After a lifetime, I will retire in a few years. When I retire, I'm going to go out for a walk. ”
"Mom, don't worry, don't you still have a mother-in-law. If there is really that day, you transfer a sum of money every month, and no one will have enough money if they don't get it, and no one will say anything. ”
"What do you mean if there really is such a day? Have you met the right nurse at the hospital? Lin Yuejuan tapped the bowl with chopsticks, "I'll tell you, it's best not to find a nurse." ”
"Why? How can you still have occupational discrimination? ”
"Nurses work night shifts, and at the age of 27 or 8, they will reach their limit, and they will have to find jobs that can't work shifts. If you look at the general office of the mine, at least one-third of the positions are nurses. If you find a nurse, you'll have to brush your uncle's face in the future. ”
"Got it, got it."
"You haven't answered me yet, have you met the little nurse in the photo?" Lin Yuejuan asked clearly.
"No, I swear."
After the mother and son finished eating, Luo Hao washed the dishes, and Lin Yuejuan changed her clothes and went downstairs for a walk.
After brushing the dishes and lying on the bed after washing, Luo Hao stretched his waist.
It's so comfortable at home!
Looking at the data of the system panel in the upper right corner of the field of vision, Luo Hao began to ponder.
A novice task, which is not very difficult, is easily completed with the help of Director Lin.
Although the system judged the emergency task perfectly, and the patients and their families were also satisfied, Luo Hao was not satisfied.
Umbilical vein puncture and blood transfusion treatment, the effective rate is about 50%, if it is not for the super high luck value in the blessing, it is estimated that whether it can be successful is still between the two.
However, theoretically, the surgical method that can cure 100% of this kind of disease requires eight to nine levels of surgical skills, which is quite difficult for Luo Hao.
I don't know if there are any interventional surgeons in China who have reached level 9.
Luo Hao looked at the long progress bar, and began to look forward to how good it would be if he could be promoted to the ninth level.
The meal had to be eaten one bite at a time, and Luo Hao was not anxious, but he just looked forward to it and went to the system library to read books.
He found that there was also experience points for reading books here, but this part of the experience was added to the diagnostic auxiliary AI.
Looking at the system panel, Luo Hao looked at every corner and made sure there were no omissions.
After reading the book for a while, Luo Hao went into the system operating room again for surgical training.
Going to bed at ten o'clock, Luo Hao's schedule has always been very regular.
The next morning, when Luo Hao opened his eyes, Lin Yuejuan had already prepared breakfast.
After eating, Luo Hao came to the hospital.
Luo Hao changed his clothes in the infirmary, and was just about to go to the obstetrics and gynecology department when Lin Yuming's figure appeared at the door.
"Luo Hao, wait a minute."
"Huh." Luo Hao saw that Lin Yuming was speaking formally, and knew that it was a public matter, so he obediently followed Lin Yuming to the office.
"What are your plans for the obstetrics and gynecology side?"
"To open the interventional surgery, the cooperation between B-ultrasound and the Department of Obstetrics and Gynecology must be coordinated by Director Lin."
"I am ready to increase the share of medical insurance in obstetrics and gynecology by 500,000, of course, this is on the premise that they can undergo ovarian cyst puncture and solidification surgery."
"Okay, do you want me to talk to Director Sun?"
"Don't say it explicitly, it's not settled yet." Lin Yuming waved his hand.
"Okay."
"Little Snail, did you learn everything so hard when you were in school at Concord?" Lin Yuming seemed to be chatting casually, and asked unintentionally.
"Well, after all, we are in Concord's eight-year bachelor's, master's and doctoral programs. When people from Beijing Medical University and West China came, our teachers felt that their foundation was not solid enough. ”
"Forehead ......"
"Yes, I've heard something from my senior." Luo Hao said, "More than 20 years ago, every year in Concord, a team of experts went to various colleges and universities across the country to select outstanding graduates, and then brought back to Concord to continue training. ”
"How I don't know."
"Maybe the pastoral doctor is not good enough."
"Get out!"