[Main Quest: Less Damage, More Possibilities (Phase 1)]

Task content: Complete 100 interventional surgeries.

Mission duration: three months

Rewards: +1 random attribute points, 10,000 experience points, +1 diagnostic auxiliary AI fragments. 】

The tasks that the system had issued a long time ago began to flicker, as if to remind Luo Hao not to forget.

Oh?!

Luo Hao's worries vanished.

Originally, he was particularly afraid of the interventional surgery of the system to issue DSA to himself.

Today, in order to perform uterine artery embolization surgery for scar pregnancy for the patient, Uncle Lin Yuming almost turned his face with himself.

If he didn't know whether he was alive or dead, he would continue to do it, Luo Hao had no doubt that his uncle would become the stumbling block that he couldn't overcome.

Hold off for a while and find an opportunity to convince him.

The reminder of the system task is just right, as if it also knows its own difficulties in the dark, and recommends that it do a puncture operation for the liver cyst by itself.

The surgery is difficult, there is almost no risk, and the most important thing is not to take radiation.

The only question is whether the old directors will be able to accept the new technique.

However, with the support of the Medical Director, this is not a problem. The old director's opinion is only for "reference", and they should also "refer to" Lin Yuming's opinion.

In the past, Luo Hao's impression of his uncle Lin Yuming was only limited to his spoiling. But when he returned to the mine and contacted his uncle at work, Luo Hao knew that he was as fierce as a tiger and as cunning as a fox.

So Luo Hao has strong confidence in Lin Yuming.

"Do you understand what I told your family?" Dr. Jiang looked at the patient and asked word by word.

"Understood." The patient's family said with a sad face, "If you stay in our hospital to do it, Director Wen will do laparoscopic liver cyst fenestration and drainage, Dr. Jiang, I am not wrong about the procedure." ”

"That's right." Dr. Jiang nodded.

The patient's family is indeed very concerned, and it is difficult for a layman to say such an awkward surgical procedure in one breath.

It seems that they not only listen to themselves, but also look up on the Internet. Not only checked, but not less, it has been engraved in my mind.

"Doctor Jiang, if I had money, I would definitely listen to you." The patient's family members are cramped and don't know where to put it.

It looked like they were doing something wrong, even breathing wrong.

"You're welcome, come in." Dr. Jiang was polite and reasonable when he saw the patient's family, and he was not the kind of person who was too troublesome to take his family to see a doctor, and his words were much gentler.

The patient's family sighed and continued, "You said that laparoscopy is also minimally invasive, but it is more expensive than the surgery you recommend. But if you go to the provincial capital, you need to queue up for hospitalization, plus the people who take care of my family eat and live, this is all money. ”

"A while ago, my neighbor went to the provincial capital for hospitalization and surgery, and the hospitalization cost more than 40,000 yuan, and the person who took care of him spent a total of 30,000 yuan on food and housing."

"Why are there so many?" This time, even Dr. Jiang was stunned.

"It took more than 20 days to queue up for hospitalization, and I didn't know when the head nurse would call, so I didn't dare to leave at all if I stayed in the provincial capital, for fear that I would be hospitalized immediately after I would call on the front foot."

"I didn't dare to live in a place that was too expensive, but even if the patient didn't rest well...... Alas, a thousand days at home are good, but everything is difficult to go out. No matter what you do, you need money......"

"The operation you said really doesn't cost much, and there is reimbursement from the NCMS, but we really can't afford to eat and live."

The patient's family spoke, as if they felt a little guilty about Dr. Jiang, and bowed deeply to express their gratitude, their voices choked.

"Thank you, Dr. Jiang, although we are from the countryside, we know who is good to us."

Dr. Jiang frowned, as if he was thinking about something but couldn't remember it for a while.

After a few seconds, he turned his head to look at Luo Hao.

"Xiao Luo, did the obstetrics and gynecology department ask experts from the provincial capital for consultation a few days ago?"

"Yes." Luo Hao nodded and gave an affirmative answer.

Dr. Jiang no longer talked to Luo Hao, but got up and patted the patient's family on the shoulder.

"If you don't sleep in the middle of the night, do you feel uncomfortable and can't sleep well?"

This sentence spoke to the hearts of the patient's family, and the circles in the eyes turned red.

"It's okay, you go back and have a good rest first, and we will discuss a better solution."

The patient's family estimated that Dr. Jiang was perfunctory, but the choice was made by himself, and he couldn't complain about others.

After repeatedly expressing their gratitude, the patient's family left.

Dr. Jiang closed the door of the doctor's office and looked at Luo Hao curiously.

"Dr. Jiang......"

"Call me brother." Doctor Jiang smiled, "Xiao Luo, I heard the doctor in the B-ultrasound room say that some patients are made by you. ”

"Hmm." Luo Hao nodded, "I made 11 units, and the puncture technique is not difficult." Brother Jiang, do you suggest that patients go to the provincial capital for liver cyst puncture, drainage and curing under B ultrasound? ”

"Director Wen insisted on doing laparoscopic liver cyst fenestration and drainage, and I am an old attending person who is soft-spoken, and it doesn't count if I say it."

"No problem."

Dr. Jiang gossiped slowly.

If these words were said by others, Luo Hao would think that he was complaining about the injustice of the world, but when it came out of Dr. Jiang's mouth, even if he laughed at himself as an old leader, Luo Hao could hear some expectations.

didn't say anything, there was a tacit understanding between the two.

"I'll go back and ask, I'm just a little clerk." Luo Hao didn't agree, but gave a vague answer with a slight tact.

"I have a little apprentice." Dr. Jiang changed the topic very quickly, and said another thing at once, "It's the doctor who did appendicitis on stage tonight, he has a good level and skillful hands, but unfortunately I can't do it, he ...... Straight, Xiao Luo, if you continue to have puncture surgery, you can take him with you if you have the opportunity, he is really talented. ”

"I'm just a minion, we're all the same." Luo Hao said with a smile, noncommittal.

Seeing that Luo Hao did not answer, Dr. Jiang did not force it, and began to write the operation record.

Luo Hao finished his work and said goodbye and left.

When I went out, I was confronted by a young doctor, who was wearing an isolation gown and pulling on his slippers.

It looks normal, it's just ...... Luo Hao felt something strange.

Habitually showing a smile to the doctor, Luo Hao took out his mobile phone and looked at the time before leaving.

"Master, the person who just left is Luo Hao from the infirmary?"

The young doctor walked into the doctor's office and asked.

"Chen Yong, be quiet." Dr. Jiang said, "Sit down, let me tell you something." ”

Chen Yong took off a layer of mask, and he was still wearing a layer of mask inside.

Doctor Jiang was not surprised, took out a cigarette and threw it to Chen Yong, lit it himself, and took a deep breath.

"Master, what's wrong?" Chen Yong took off another layer of masks, and there was still a layer of masks inside.

"Nothing, what do you think of a patient with 3-8 beds."

"Liver cysts, which have affected liver function, the best way is to treat them by puncture." Chen Yong took off the last layer of mask, his face was handsome and angular.

If he stands on the stage, there will be countless shouts and cheers from the audience with this face alone, and he will win countless traffic.

"The patient's family just told me that the cost of transportation and horses is too expensive to go to the provincial capital, and they are still going to stay for laparoscopic liver cyst fenestration and drainage."

“！！！” Chen Yong showed the indignation that only young people can have, "Obviously, the master in the department did the best operation, but the director has to be the one surnamed Wen, why?" Just because he is the second generation of doctors?! ”

"Don't talk nonsense." Dr. Jiang took a cigarette in his mouth and glanced at the door of the doctor's office.

The door was closed, and no one could be seen outside through the frosted glass.

Although it was the dead of night, Jiang Wenming was still very careful.

"Master, I'm telling the truth."

"You can't tell the truth." Dr. Jiang said, "Laparoscopic liver cyst fenestration and drainage is also a serious surgery, and which surgery is used involves the judgment of the disease, and it has nothing to do with the person. ”

"I remember." Chen Yong lowered his head and whispered.

Doctor Jiang looked at the little apprentice in front of him and smiled slightly, "Luo Hao graduated from the eight-year program of Xiehe. ”

"It's not necessarily strong, it's just good at exams." Chen Yong stiffened his neck unconvinced.

"I'm going to report to the clinic today, and you don't talk much in Cory. If possible, for example, for patients with 3-8 beds, Luo Hao contacts experts in the provincial capital to perform surgery, and you must have a good relationship with Luo Hao. ”

Chen Yong pouted.

"It's all young people, go to the Internet café to play two kings, go to the skewers and drink when you're done, and the lively relationship will go up, is there anything simpler than this!"

Dr. Jiang said, his tone already with a stern reproach.

"Ask a specialist for surgery? What surgery? Chen Yong asked.

Doctor Jiang knew that Chen Yong didn't want to, and he wasn't that kind of person, so he smiled slightly, and followed Chen Yong's words to divert the topic just now.

I talked about the recent obstetrics and gynecology department invited experts to do ovarian cyst puncture, drainage and solidification surgery.

"I didn't see it with my own eyes, I only know that Director Sun of the Department of Obstetrics and Gynecology said a few gossips when he was doing the operation, and I also heard that I couldn't count them. But today Luo Hao gave me a table, and I think he did a good job in surgery. ”

"Oh? Better than me? "Chen Yong is like a newborn calf, he wants to go up and top everything when he sees it.

"Hehe, you'll know if you've seen it." Dr. Jiang did not give a positive answer, "Equipped with a table, it can best reflect a doctor's technique and awareness, sometimes a good assistant will make the speed of surgery fly." ”

"Today, my surgery flew up."

“！！！” Chen Yong was not convinced, and looked up at Dr. Jiang.

"It's all trifle, future surgery...... If the process of science and technology is not interrupted by force majeure such as war, surgery will inevitably go in the direction of minimally invasive. In today's medical world, laparoscopic surgery and da Vinci robots have replaced a large part of surgical procedures. ”

"This is the general direction of the future, and it is not subject to human will."

"We are a small hospital, and our technical level lags behind the domestic average, let alone compare with the imperial capital and the magic capital. If you are highly talented, if you want to take the path of medicine, Luo Hao is a good choice. ”

As he spoke, Dr. Jiang smiled self-deprecatingly.

"Just to give you a suggestion, who knows exactly where you can go? I mean, if I happened to meet Luo Hao at your age, I would consider getting along with him and working together. ”

Chen Yong frowned, and a trace of stubbornness flashed on his handsome face.

……

Early the next morning, Luo Hao stood in high spirits at the door of the office of the director of the medical department.

Lin Yuming was very envious.

I tossed for most of the night, went home to make up for sleep, and now my spirit can't keep up at all.

Luo Hao is different, this kid has hardly slept all night, and he is still energetic, and he can't see that he is tired at all.

I want to ......

Lin Yuming's thoughts drifted to more than 20 years ago.

"Director Lin, yesterday's report is over." Luo Hao said it concisely, and then stopped talking with a face.

"What else do you have to do?" Lin Yuming asked.

Seeing Luo Hao's eyes looking in, Lin Yuming turned around and entered the house, and Luo Hao walked in behind his buttocks.

Closing the door, Luo Hao told the patient seen by the general surgery.

"Uncle, I can do this surgery." Luo Hao said with a smile.

"You promised Jiang Guangming?"

"Uncle, I didn't agree. I'm just a little minion, how dare I make my own decisions. Although the surgery went well, I knew that it was the directors who gave you face. Even so, now in the obstetrics and gynecology department, I feel that I have encountered resistance, I have feelings. ”

"You know." Lin Yuming sat on a chair, his hands on his lower abdomen, and his thumbs constantly twisting and turning around each other.

"It's just a feeling." Luo Hao said with a smile, "Uncle, according to the book, I call it a way to rob people of money." This is the same hatred as killing my father and taking my wife, so I didn't dare to say more. ”

Lin Yuming was a little surprised.

Luo Hao, this kid has good eyes, and he also knows the depth and depth, and he can see so many things clearly.

And he is not ostentatious at all, extremely low-key, which is quite difficult for a young man.

The night walk in brocade clothes is all idioms, and I don't know how many people's mentality they say.

If I had solved a problem in obstetrics and gynecology when I was young, I had done 11 surgeries in a row, and my tail would not have been lifted to the sky.

If you see a dog in the hospital, you have to go up and kick it, don't say it's unassuming, low-key or something.

"I thought that the treatment of liver cysts, kidney cysts, and ovarian cysts is similar, and they can be done together."

After Luo Hao finished speaking, he added: "Minimally invasive, less medical insurance, and the patient's recovery is ...... fast."

As he spoke, Luo Hao saw Lin Yuming start to make tea, and he said in a deep voice, "The key is not to eat threads." ”

Lin Yuming glanced at Luo Hao deeply, and within a few seconds, he couldn't tell if Luo Hao was threatening him.

"Uncle, the family of the patient I saw in the general surgery department last night is reasonable, but he has no money, so he really can't go to the provincial capital. I just took a look, and the DIP core score of laparoscopic liver cyst fenestration and drainage is 1720, which can be solved by puncture, which can be regarded as saving some money for medical insurance. ”

"Don't be careful." Lin Yuming said.

"Yes, yes, yes." Luo Hao was honest and stood in front of Lin Yuming.

"This has to be done first."

"Hit?"

"In the afternoon, I took someone to the general surgery department to implement the medical insurance policy." Lin Yuming said, "But this is only a stopgap measure, to stabilize the flow of patients at the root." ”

"B-ultrasound?!"

"Yes." Lin Yuming said, "The B-ultrasound room is an upstream department, and I will have a meal with Director Li of B-ultrasound when I have time, and you will accompany me." ”

"Okay, uncle." Luo Hao looked at the task time in the system panel in the upper right corner of the field of vision, and he was not in a hurry.

"Now you're in the obstetrics and gynecology department, don't think about messing around. The biggest fear of being a doctor is to have empathy, for example, if you see a poor patient who can't go to the provincial town, once you ......"

Luo Hao smiled in his heart.

A few days ago, a patient was treated because of Lin Yuming's sympathy, but now he is talking about the truth in front of him.

Luo Hao didn't refute, just listened quietly.

At the same time, Director Sun of the Department of Obstetrics and Gynecology sat in the office with a sad face.

"Eldest sister, we have been playing since childhood, don't lie to me."

A woman sat on the bed in Director Sun's office with a puzzled expression.

Director Sun looked at his cousin who "didn't know what to do" in front of him, and couldn't say anything about the bitterness in his heart.

"Sister, I heard that you have an ovarian cyst puncture operation, and ...... after surgery."

"How's it going after the surgery?" Director Sun said disdainfully.

"They were talking nonsense and saying they could walk back to the ward. My sisters don't believe it, I don't believe it, they cure the disease without pain or itching? But the strange thing is that after she was discharged from the hospital, she found three places for reexamination, and all of them said that the cyst was gone. ”

"Hmph."

"Sister, I'm timid, the ovarian cyst has dragged on for a few years, and I'm seeing that it's getting bigger and bigger year by year, so I can't do it. So come to you, but ......"

"Do you believe me or not?" Director Sun asked.

"Of course I believe you."

"So, her surgery was done by the nephew of the chief of medical care of our hospital, you say there is a good one?" Director Sun said disdainfully, "If the operation is really good, why don't I do it." ”

"Ahh Director Sun's cousin was surprised.

"Of course it's true, can I still harm you, it's all family. I recommend you to do minimally invasive surgery, I have done this surgery for more than ten years, thousands of patients, and it is very mature. If you don't do what I recommend, you have to listen to people's nonsense. You're talking about you! ”

Director Sun's cousin was said to be red-faced.

She looked at Director Sun carefully, and finally said, "Then I believe you." ”

"That's right." Director Sun smiled.

Director Sun's cousin completely extinguished the fire, and he had long since lost his previous posture of asking for guilt.

It's good to say that it's not good to discuss, so you have to scold a few words, Director Sun thought to himself.

But she was also awkward.

The puncture surgery was done by Deputy Director Liu and Luo Hao, and Director Sun would only do laparoscopic surgery, and she also knew that this type of surgery might be better, but after all, she couldn't, so she kept giving herself psychological hints - puncture surgery is easy to recur, and doing it is equivalent to not doing it, which is irresponsible to the patient.

Md！

Director Sun scolded her cousin in his heart after sending her cousin away.

After coming back, Director Sun called Luo Hao out.

"Xiao Luo, have you asked the professor to prepare for surgery recently, how many patients do you have on hand?" Director Sun tried his best to show a kind and kind smile.

Before Luo Hao could answer, an obstetrician and gynecologist in the ward hurriedly ran out.

"Director, the patient smoked!"

Director Sun's face changed, and he didn't care about talking to Luo Hao, so he trotted to the ward.

Luo Hao didn't follow the situation at the first time, he was stunned.

"Ding Dong~"

The sound of the system task comes to your ears.

[Emergency Mission: Bone Hunger.]

Content: Treat a patient with induced labor for convulsions.

Mission duration: 5 days.

Reward: 10,000 XP, +1 Peer Worship. 】

This task is a bit strange, Luo Hao didn't understand what the system was going to say.

What is the use of peer worship after seeing ghosts? Luo Hao frowned slightly.

The mother is low-key, never ostentatious or unassuming. Therefore, Luo Hao has also been imperceptibly cultivated since he was a child, and he has developed a low-key temperament.

Peer worship +1 doesn't mean much to Luo Hao.

Luo Hao didn't mind the brocade night walk.

What made Luo Hao wonder was the name of the mission - bone hunger, what does this mean?

He came to the door of the ward full of suspicion and saw that the nurse was giving the pregnant woman peace of mind.

The patient's vital signs are stable, but the corners of his mouth are foaming at the mouth, and his hands and feet twitch from time to time.

Director Sun stood next to the patient and seemed to be contemplating, but that kind of thinking expression always made Luo Hao feel that Director Sun's mind was blank.

The patient's life is not in danger for the time being, and there are still many people who are being rescued on the side, Luo Hao glanced at the bed number, tiptoed out and went back to the doctor's office.

Open the medical record, Luo Hao read it carefully.

The patient, a 33-year-old female, was transferred from a lower hospital to the General Administration of Mines for treatment due to 19+3 weeks of menopause, nausea and vomiting for 3 months, and aggravation for 3 days.

Among the examination indicators, the serum calcium > 3.49mmol/L, the urine routine showed that the urine ketone was weak and positive, and the electrocardiogram showed that the atrioventricular block of the first degree and the ST⁃T changes in some leads.

After admission, the Department of Obstetrics and Gynecology gave volume expansion, diuresis, and calcium-lowering treatments, but the effect was not good, until today, the patient has convulsions.

After reading the medical records, Luo Hao glanced at the system task - bone hunger.

High calcium ions seem to have something to do with bones, but I don't know what it is.

The system interface also did not give relevant diagnoses, the background turned dark red, flashing slightly, and there was a line of words below - the auxiliary examination data is insufficient and cannot be diagnosed.

But unlike before, the system gives a recommendation after a diagnosis cannot be made - it is recommended to do a thyroid ultrasound.

Well?!

Luo Hao was stunned.

Could it be that the patient has a problem with the parathyroid glands?

The parathyroid glands are closely related to calcium ions in the human body and regulate calcium and phosphorus metabolism. If there is a problem, the calcium concentration will change.

Because of the low incidence and uncommon clinical practice, many doctors ignore this.

When he was in school and intern, Luo Hao met a tumor patient, who was found to have high blood calcium in the local hospital.

At that time, Luo Hao's instructor prescribed some test sheets, one of which was thyroid B ultrasound.

In the end, it was determined that it was parathyroid lesions, and the teacher also told Luo Hao some relevant medical records.

After the reminder of the system interface and Luo Hao's thinking, he gradually had the answer in his heart.

"Inform the ICU that if you have a bed, you have to turn it, and if you don't have a bed, you have to turn it!" Director Sun's sharp voice came.

She panicked!

Luo Hao could recognize the panic and helplessness in Director Sun's voice.

The patient was transferred to the ICU, which is also one of the commonly used skills in clinical practice, and Director Sun is proficient in it.

"Such a heavy patient ICU actually said that there is no bed! I don't care. ”

Director Sun's voice was getting closer and closer.

Soon, she strode in, looking at Luo Hao with a blue face.

"Xiao Luo, you help my sister transfer the patient to the ICU." Director Sun said directly.

Luo Hao knew that at such a time, the words of the medical office had weight.

Partable to portion, Luo Hao doesn't want to.

"Director Sun, is that pregnant woman with convulsions?"

"That's right! Originally, people were good, and they said they would smoke it, so what was the matter. ”

Luo Hao stood up, "Director Sun, I'll go do a B-ultrasound for the patient, and we'll make a decision." ”

"B-ultrasound?!" Director Sun was stunned.

Isn't this nonsense, the patient has no trauma, and he has inexplicable convulsions, Luo Hao actually wants to do B ultrasound.

It must be that he can only do B ultrasound, and he can't think of how to solve the problem for a while, so he can use whatever he is familiar with.

delayed the treatment of the patient, can he Luo Hao afford to be responsible!

"Luo Hao!" Director Sun's voice was a little sharper.

"Huh?"

"Are you making the decision on behalf of the Medical Service?" Director Sun asked sharply, and directly buttoned Luo Hao's hat.

"Yes!" Luo Hao replied indifferently, "I, the representative's medical office." ”