"Director, the team of the medical department is staying in our department, and I always feel uncomfortable."

Before the morning shift, an obstetrician and gynecologist chatted and complained to Director Sun.

Director Sun also felt particularly unaccustomed.

Clinicians do clinical work, and the people who hate institutions the most point fingers. Even if Luo Hao is sunny and amiable, he is a person from the medical department after all, even if he has a smile on his face all the time, he still has bad intentions in Director Sun's opinion.

"Director, when are they leaving?"

"You can't tell them clearly, call them directly when you encounter something tricky at night, toss a few more times, they are tired and tired, and it is a good way to go by yourself."

Director Sun had an idea, and after whispering, he gave all the doctors a "you all understand" look.

Everyone understands.

The office door was pushed open, and Luo Hao walked in.

It was like a ray of sunshine shining in, Director Sun's pierced eyes hurt a little, and he couldn't help but squint.

When Luo Hao arrived, the topic just now came to an abrupt end, and he began to hand over shifts and make ward rounds to see patients.

A busy day begins.

……

Clinicians have mixed feelings about the medical service.

In the eyes of many doctors, the medical office is the "dog's leg" of the hospital leaders, and it sounds like Jinyiwei.

Doctor-patient disputes, complaints, and case reviews are all under the jurisdiction of the Medical Service, and in the last year, even the most difficult medical insurance has been assigned to the Medical Service.

Clinicians are both reluctant to offend the Medical Service and annoyed by them.

is like an obstetrician and gynecologist looking at Luo Hao, the emotion of a beautiful woman who has no choice but to be a thief is extremely heavy.

Night.

Luo Hao didn't leave immediately after getting off work, but stayed to write the medical records of patients with ovarian cysts.

"Leader, there is a patient I think there is a problem, you can take a look." The doctor on duty in the obstetrics and gynecology department said jokingly to Luo Hao.

"Don't lead, I'm also a donkey. By the way, what patient? Luo Hao asked.

"Premature."

"If you are born prematurely, you have to come to the neonatologist, I'm sorry, I'll call you." Luo Hao took a look at the patient, knew the doorway, and immediately called the neonatal department.

"Hello, Luo Hao of the Medical Department, I am in the Department of Obstetrics and Gynecology, and I am looking for your doctor on duty for an urgent consultation."

"I'm just, I'm going to give birth prematurely, I'll be there right away."

The newborn's doctor simply agreed and hung up.

The expression of the obstetrician and gynecologist was a little strange, and Luo Hao looked at it in his eyes and was puzzled.

"Prepare for the delivery." The obstetrician and gynecologist called the midwife to go to the delivery room together.

Entering the delivery room, Luo Hao glanced at the medical records, he was not ready to change clothes, he stood in the corridor of the delivery room with his back hand, his expression was serious.

"Dr. Luo." The obstetrician and gynecologist had a strange expression and stopped talking.

"What's wrong?" Luo Hao asked.

"There's something wrong with pregnant women, don't you think?"

"I feel it." Luo Hao seriously discussed the condition, "At 35 weeks pregnant, the child is a little big on color ultrasound. ”

"......" the obstetrician and gynecologist looked at Luo Hao with a smile.

"The fetus has a long head and thighs, because you can't rely on the fetus's double top diameter and femur length to judge the gestational age and maturity in the later stage, and you can't say much, but you don't think it's ......."

"No matter how much it is, I know it may be a problem with the pregnant woman, but let's avoid some surprises."

Luo Hao's expression was serious, and he looked at the obstetrician and gynecologist, "Explain it to the midwife and neonatal doctor, don't say it's useless." ”

The obstetrician and gynecologist squinted, raised her eyebrows, and turned to change her clothes and go into the delivery room to deliver the baby.

It is very common in clinical practice for patients to deliberately conceal their medical history and past medical history, and it is not uncommon for obstetrics and gynecology to conceal the time of their last menstruation.

The pregnant woman said that at 35 weeks, it was full-term on ultrasound.

But this has nothing to do with hospitals and doctors, cough~

The obstetrician and gynecologist still wanted to see Luo Hao's nervous and anxious appearance, but he didn't expect Luo Hao to find out the truth of the matter early on, and he was even more sure than himself that the child was not a premature baby.

Luo Hao looked at the diagnostic assistance AI, and there was no entry suggesting premature birth.

Compared with the B ultrasound in the medical record, Luo Hao felt that it would be fine.

He was worried that obstetricians and gynecologists, midwives, and neonatologists would gossip, which would eventually lead to a quarrel between the mother and her family, so he simply stood in the corridor and whispered one by one.

The pregnant woman was a multiparous woman, and half an hour later, Luo Hao heard the cry of wawa.

The cry is loud and the child is healthy.

After a while, the midwife came out with the baby in her arms.

Luo Hao glanced at it, full-term.

He scratched his head and forgot about it as an episode.

The obstetrician and gynecologist came out after changing his clothes, took off his mask and smiled at Luo Hao.

"Xiao Luo, don't worry, we've seen a lot of things like this, and we definitely won't talk too much."

Luo Hao nodded, and also showed a smile.

"I didn't expect you to know so much at such a young age, I thought you would be very worried." The obstetrician and gynecologist laughed.

"When I was in school, I was willing to go to the emergency room, and the teachers chatted with me."

"Oh? What else is interesting. ”

"The teacher said that the emergency department with the highest divorce rate ...... Guess what. Luo Hao asked with a smile.

Divorce rate, emergency, these two words can't be beaten.

The obstetrician and gynecologist was stunned for a moment, thought for a few seconds, and then asked tentatively, "Dermatology?" ”

"It's a serious disease, and the teacher said that urinary stone patients who come at three or four o'clock in the morning when the first big drop in autumn have the highest divorce rate."

！！！

The obstetrician and gynecologist was stunned.

She looked at Luo Hao and couldn't understand why this guy knew more than herself.

"I've seen it twice, and the patient's sore face is like white paper, and cold sweat breaks out all over his body. As soon as the people who came with me heard that it was a stone, they sat on a chair and played a game or something, but they didn't care too much anyway. ”

"The teacher said that as long as the stone is healed, there is a certain probability of divorce. The probability is high, even higher than that of malignancy. ”

The obstetrician and gynecologist looked at Luo Hao's sunny face, but he didn't expect this young man to talk about clinical gossip one by one, where was a little green.

"Don't worry." The obstetrician and gynecologist felt embarrassed and began to make amends, "It's going to be fine, the main thing is that I always call newborns, and when they look at me wrongly, I can only trouble you." Xiao Luo, you rest for a while, and I'll write the medical records. ”

The two walked out of the delivery room, and the man with big shoulders and round waist, who had beaten someone an hour ago, covered his face happily and cried happily.

Luo Hao felt extremely ridiculous.

But a doctor is a doctor, and he can only be a doctor, and he closes his mouth and walks past the patient's family.

Back in the department, the doctor on duty in the obstetrics and gynecology department found a common topic and chatted with Luo Hao first.

As for Director Sun's careful thoughts, the obstetrician and gynecologist didn't care.

It's okay, who wants to be a gunman.

Besides, Luo Hao is good, it's okay to joke, but if you really want to stumble, the obstetrician and gynecologist can't get down.

While chatting, the sound of flat cars sounded. Along with the sound of the flat car, there was also the roar of the emergency department.

"You go get busy first, I'll see the emergency patients."

"Ding Dong~"

The system task prompt rings in your ears.

Luo Hao perked up and looked at the system panel in the upper right corner of his vision.

[Emergency Mission: A Dilemma.

Mission: Treat a patient with massive bleeding from a scarred pregnancy

Mission duration: 5 hours

Reward: Experience points: 10,000 points, 3 hours of systematic surgery learning time. 】

Task!

Reward System Surgery Learning Time!!

Luo Hao suddenly became happy.

He is no longer satisfied with the infinite general teacher, he can learn and comprehend more in the time of systematic surgery, and intuitively speaking, the experience value is at least 3-5 times that of his own individual learning.

Scar pregnancy ......

After a very brief moment of excitement, Luo Hao's eyes fell on the task content of the system panel.

Scar pregnancy, which refers to women who have had a history of cesarean section, implants the gestational sac at the original uterine scar when they are pregnant again, often resulting in heavy vaginal bleeding and late uterine rupture, which is an abnormal pregnancy that is difficult to manage.

This type of disease is extremely dangerous, and in the field of obstetricians and gynecologists, only ectopic pregnancy can be compared.

As for treatment......

In the past, many patients had to have their uterus removed after they had been conservatively ineffective.

But now Luo Hao's mind is moving, and the interventional surgery skill tree has been expanded, and the simplest interventional catheterization and embolization surgery belongs to the fourth-level surgery, which is just within Luo Hao's ability.

Try?

Try it!

Embolizing the communicating arteries of the intrauterine twins can't be done by themselves, and embolizing the uterine arteries can't be done, this operation is not difficult, and the level 3 surgery can be successfully completed.

Luo Hao got up and walked out of the doctor's office.

The mine manager used to have an interventional department, and also bought expensive DSA machines, and the number of surgeries per year was more than 1,000.

Even at its peak, difficult procedures such as tips were carried out, and dozens of cases could be performed every year.

But that's all in the past.

With the change of centralized mining policy, the reduction of the group's investment and the increase in the intensity of digging people in the south, the intervention department established by the mine general manager in more than ten years disappeared in less than five years.

Now the interventional department has shrunk and shrunk again, and even the most basic surgical ability cannot be done.

It's really an emergency task, Luo Hao is a little helpless.

A pungent smell of blood came to my face.

There was a middle-aged woman lying on the flat car, her pants were already soaked, and the dark red blood was dripping down the flat car and falling on the marble floor.

The red blood had already frightened people dumbfounded, and the patient's family members seemed to be covered with their mouths covered, unable to say a word.

They followed the flat car blankly, dazed and helpless.

"Prepare to rescue!" The obstetrician and gynecologist was thrilled with adrenaline by the smell of blood and yelled.

The little nurse was also a little nervous, but she still knew the basic rescue process - leave intravenous access first after measuring blood pressure.

Luo Hao helped to install ECG monitoring for the patient, and the patient's blood pressure was extremely low, 65/32 mm Hg.

To diagnose hemorrhagic shock, it is necessary to stop the bleeding as soon as possible.

The obstetrician and gynecologist took the time to call Director Sun, and Luo Hao went to the fire escape to call his uncle Lin Yuming.

"Uncle, it's me."

"What's the matter with calling me so late?"

Lin Yuming didn't get up, the more calls he received in the middle of the night, the more dangerous it meant that every old clinic understood.

Luo Hao briefly stated the patient's situation.

"Uncle, I want to do interventional DSA surgery for the patient."

Unexpectedly, Lin Yuming didn't want to deny it directly.

"No way!"

"Uncle, the patient ......"

"It's called Director Lin!"

"......" Luo Hao choked, "Director Lin, the patient's condition needs it." ”

"The condition of the bullshit needs, without you doing interventional surgery, those patients with scar pregnancies are all dead? Let me tell you, after Director Qian of the Interventional Department went to the south, we have never had a single patient with a scar pregnancy die in our mine. Who do you think you are! Lin Yuming scolded.

"Uncle, calm down and listen to me first."

"Listen to your! Do surgery and see if the film is not enough for you to do? If you have to eat thread, it's radiation!! ”

"Listen to me, uncle, your concept is too old." Luo Hao knew that he would definitely not be able to persuade him gently, so he bluntly replied to Lin Yuming's words.

"At Concord, the interventional department rarely does traditional interventional surgery, and radiofrequency ablation under CT machine is the mainstay."

"Don't eat the thread, don't eat at all."

"And now many hospitals carry out particle implantation surgery, and that doesn't eat threads."

There was silence on the other end of the phone.

A glimmer of hope rose in Luo Hao's heart.

"Before you have a child, you can avoid the line for half a year. Uncle, I promise you that as long as I have a girlfriend, I will not touch these things immediately. But in front of us is a question of whether the patient can save his organs, and when he can't do it, of course, he can cut it off, but now we can't do it and can do it. ”

“……”

There was a deathly silence on the other side of the phone, and Lin Yuming didn't say a word.

"Uncle, the machine in our DSA room can still be used."

"You wait for me."

More than ten seconds later, Lin Yuming said a word sullenly and then hung up the phone.

There are many types of interventional surgeries, and the B-ultrasound machine is an interventional surgery, but the traditional access surgery refers to the surgery under the X-ray of the DSA machine.

For example, coronary intervention surgery in the cardiovascular department.

Eating threads will affect the health of the surgeon, such as the thyroid, eyes and immunity.

The most important thing is that eating threads may lead to congenital malformations when having children.

The uncle's concerns should be right, and Luo Hao didn't think that the uncle's fierce reaction was a big fuss.

This is also his own relatives, if someone else takes the initiative to ask for it, it is estimated that the pie painted by Uncle Lin Yuming can fill the entire canteen of the mine.

What is the director of the interventional department, what is the medical insurance inclination, what is the key department, what is the key support in the hospital......

Give as much as you can think of.

But the problem is that there is really no one to do it.

You don't do it, some people do it, this sentence is not applicable in the interventional department.

Luo Hao pondered how to convince Lin Yuming and went back to help rescue him.

The patient was not in good condition, severe hemorrhagic shock, his expression was indifferent, and he was clammy and cold.

Ten minutes later, Lin Yuming hurried over.

He glanced at the patient's condition with a gloomy face, and then grabbed Luo Hao's collar and pulled Luo Hao out of the emergency room under the surprised gaze of others.

"Gave you face, didn't you?"

"The wings are stiff, aren't they?"

"Concord Concord, why do you say Concord every day, do you know Concord, do you know Concord! Who do you think you are!! Why don't you stay in Concord if you have the ability!! ”

Although Lin Yuming tried his best to keep his voice low, that anger gushed out.

He came to the hospital in the middle of the night not to discuss anything with Luo Hao at all, but to spray Luo Hao's scolded dog blood in front of him and watch this unconscious nephew to prevent him from going up to the catheterization laboratory for surgery.

"Uncle......

"Who the hell is your uncle!" Lin Yuming stretched out his hand, pointed at Luo Hao's nose and scolded, "You can't intervene before you have a child, why are you bullying me?" I am a professional doctor in pastoral imaging, and I know at least 30% of the people who are engaged in intervention in the country! ”

"Uncle, you dissipate your anger." Luo Hao bowed down, his face full of humble and flattering smiles.

Lin Yuming raised his hand and slapped Luo Hao's head, "Are you sick in the brain!" Surgery under B ultrasound is not enough for you to eat for a lifetime? The sixth child said that your B-ultrasound level is outstanding among your peers, and even he can't say that he is much better than you. ”

"Uncle, but that's a patient, and the uterus will be cut without interventional embolization."

"......" Lin Yuming couldn't say a word when he was choked.

Luo Hao dares to stand on the prostate of morality and slap himself!

Lin Yuming's eyes were like copper bells, and Luo Hao even saw a hint of fierce light.

Mother's uncle is big, how much uncle spoils himself Luo Hao knows in his heart that this is probably the first time Lin Yuming has beaten himself since he was a child.

"Uncle, listen to me, listen to me." Luo Hao explained with a pitiful look, "I promise, just once!" ”

"Once, you were a fool!"

Lin Yuming raised his hand again and slapped Luo Hao's neck.

"Be careful with carotid artery intimal avulsion, you hit me on the back of the head just now, and now I'm a little dizzy."

Lin Yuming's eyes widened when he heard Luo Hao say this, but the raised hand did not fall.

Luo Hao sneered, "Uncle, really, just like that." I'm not sick, and I'm sick and sick to surgery in a lead suit, and like a puppet, I don't want to. It's excessive, excessive. ”

"It's weird if it's true."

"Really, really. Uncle, let me tell you, I listened to the teacher's judgment on future technology, and one of them is puncture technology. "Luo Hao is serious nonsense.

"Huh?" Lin Yuming was stunned, "The piercing is simple. ”

"It's not the kind of chest or belly piercing. In the future, nanorobots will be used to treat cancer, and they will all need to be punctured and planted in the lesion. ”

"Aren't they all oral?" Lin Yuming was skeptical.

"It's a product countless generations later, akin to sci-fi, deceptive, or visionary. What can be seen now is a puncture, leaving the robot used to treat the disease, drugs, and radioactive substances in the lesion. ”

As soon as he heard the word radiation, Lin Yuming's expression was a little hideous.

"Uncle, I'll find you the particle implantation technology." Luo Hao had already taken out his mobile phone, opened a website full of English, and began to look for literature related to particle implantation.

This technique has appeared in the technology tree that intervenes in the puncture, and Luo Hao can't do it now, but this does not affect Luo Hao's prior understanding.

Luo Hao tried his best to deviate Lin Yuming's thinking, but who is Lin Yuming, Luo Hao's little tricks don't work at all.

"I don't watch, what are you going to say." Lin Yuming asked with a cold face.

"Uncle......" Luo Hao swallowed his saliva, and seeing Lin Yuming's cold expression, he began to delete what he wanted to say.

He knew that if he couldn't get to the point in three sentences to get his uncle to agree, it was estimated that today's surgery would have to be ruined.

"I'll just say three things, first, we're doctors, it's not about catching up with a patient, and I can still do it. I went for surgery and the patient's uterus was saved; If I don't go, people can't die, but they have to have their uterus removed. In any case, it is also an organ. ”

Luo Hao said as he checked Lin Yuming's expression.

"Second."

Taking advantage of Lin Yuming's lack of words, Luo Hao immediately said the second point.

"Second, I guarantee the timing of the operation...... Less than 20 minutes to eat the line! ”

"Huh?!" Lin Yuming was stunned.

Although he does not know how to do interventional surgery, he is a graduate of imaging after all, and he has also seen surgery performed by the chief interventional surgeon in the past.

Scar pregnancy involves embolization of the uterine artery or internal iliac artery.

In the past, the director of the interventional department of the General Mine Department performed similar surgeries, and as long as the patient's condition was stable, he would embolize the uterine artery very carefully.

The diameter of the uterine artery is about 2mm, which is relatively thin, and it takes a lot of effort.

If the level is insufficient, the internal iliac artery can be embolized. The diameter of the internal iliac artery is 6-7mm, which is equivalent to eight rows of canals for interventional surgeons, and it is very spacious.

In less than 20 minutes of surgery, Luo Hao should have embolized the internal iliac artery.

Count this bastard boy still a little bit forced in his heart!

Lin Yuming snorted coldly.

Seeing that his uncle didn't say much, Luo Hao saw the turnaround, and immediately continued, "Third, this is my career plan, otherwise why do I need so many scope of practice." ”

"Career planning? You talk about it. ”

"Uncle, the patient is in hemorrhagic shock and is waiting for surgery." Luo Hao reminded.

Lin Yuming thought about it and stretched out his finger.

"First, the actual operation time should not exceed 20 ...... No, 10 minutes. Plugging the internal iliac artery, if you use it for more than 10 minutes, it proves that you don't have this talent. ”

"Good, good." Luo Hao nodded like a chicken pecking rice.

"Second, this is the last time. If you have to do it, find a daughter-in-law to have a baby. With a child, you can do whatever you want, I fart and I'm old and confused, and there are many things. ”

Luo Hao continued to nod obediently.

"Third, can you really do it?" Lin Yuming asked suspiciously.

used to care for his nephew as an uncle, and the last sentence Lin Yuming asked from the position of the director of medical affairs.

Luo Hao grinned, the sun was shining.

The task is only one aspect, and interventional surgery can avoid the removal of organs, which is what Luo Hao wants to do the most.

"Yes!" Luo Hao replied simply and simply.

Lin Yuming looked Luo Hao up and down, frowning, as if a carving knife had carved the word "Chuan" between his eyebrows.

"I contacted the DSA room, and the interventional department was gone, but the surgery in the vascular department was always done. Damn, I've been looking for an interventional doctor for three years, but I didn't expect ......" Lin Yuming's voice became smaller and smaller.

"Uncle, let's talk about something else, you know that plus-size women's clothing has had a partial gastrectomy to lose weight."

Lin Yuming was puzzled and nodded.

"Interventional surgery, embolization of the left gastric artery, can achieve the same effect, and there is no damage."

"Minimally invasive surgery is the direction of the future, as long as there are no unexpected factors such as war, the existing surgeries will have to be eliminated by the time I am forty."

“！！！” Lin Yuming held the mobile phone, looked at the high-spirited nephew, and said disdainfully, "You can." ”

"Back then, cardiothoracic was known as the best direction for surgery, but look at what interventional surgery is like now."

Lin Yuming is an old clinician, of course he knows about this.

Once upon a time, the Department of General Thoracic Surgery had two general thoracic and one cardiothoracic one. But with the rise of interventional surgery, the cardiothoracic is directly zeroed.

It seems a bit ...... Wrong!

Lin Yuming immediately realized that his thinking was deceived by Luo Hao, and this kid was making psychological hints to himself!

Md！ Lin Yuming scolded.

"I don't care, anyway, in the future, you will either go to something else, or get married and have a child."

"Okay, I'm sure I'll get the job done!" Luo Hao did not hesitate to perfunctory Lin Yuming.

Seeing his uncle call someone to do emergency surgery, the smile on Luo Hao's face became brighter and brighter.

After a few minutes, Lin Yuming finished arranging everything, glared at Luo Hao and walked out of the fire escape.

When I came to the emergency room, the smell of blood came to my face.

Lin Yuming had long been accustomed to it, strode into the rescue room, and asked in a deep voice, "How is it?" ”

"Lin, stop the bleeding for the time being. The blood transfusion department is dispensing blood, and it is estimated that it will be transfused within 30 minutes. The obstetrician and gynecologist replied, "I have already called Director Sun, and I can come to the stage when the patient's condition is better." ”

"Inform Director Sun that the patient will have interventional embolization surgery."

！！！

The expression of the obstetrician and gynecologist was extremely wonderful.

She was slightly stunned, a relieved smile appeared on her face, and the whole person was relieved, "Lin Division, is Director Qian coming back from the south?" Or where have you found the intervening talent? Terrible! You don't know how much we hope that we will always have an interventional doctor who can do embolization surgery. ”

Lin Yuming didn't talk to the obstetrician and gynecologist, turned around and said to Luo Hao, "I will tell you to do all the interventional surgeries before the operation, and I will watch it." ”

"Okay." Luo Hao responded.

Luo Hao then beckoned the patient's family to the doctor's office.

The obstetrician and gynecologist watched all this happening in amazement, and it took a few seconds to vaguely understand what was happening.

Their department is related to the interventional department, especially for patients with scar pregnancy, and interventional hemostasis can be regarded as the first treatment option.

Compared to surgery, interventional embolization is almost negligible in terms of patient trauma.

But unfortunately, as Director Qian and others of the Interventional Department of the General Mine went to the south one after another, this kind of operation had to be stopped.

When encountering similar patients, the bleeding can only be stopped first, and if the effect is not satisfactory, the uterus can only be cut.

Every time Director Sun had a similar operation, he had to curse the former director of the interventional department, and the former director Qian had eyes open.

But patients in the south are also patients, and Director Qian works to earn money, which is not wrong at all.

The obstetrician and gynecologist was restlessly guessing who Director Lin would dig up for the interventional operation, while taking care of the patient, urging the blood transfusion department to send the blood quickly.

Ten minutes later, hurried footsteps were heard in the hallway.

Bang~

The door of the rescue room was pushed open, and the person pushing the door was so hard that the door slammed directly against the wall, making a loud noise.