"Xiao Luo." When Director Wen saw that Luo Hao was there, he complained to Luo Hao, "Look at the Department of Gastroenterology, what does it look like!" The patient's gallbladder has been removed, and the diagnosis is clearly liver abscess, and your medical department has a clear rule that patients with liver abscess should go to the gastroenterology department for treatment. ”

"If this kind of patient is still sent to me, it's just playing the piano! This is to push for the patient, just you are there, you tell me what the opinion of the medical department is. ”

"Director Wen, I'll report this matter to Director Lin immediately." Luo Hao lowered his voice and said, "You bring the patient in first, don't leave the patient in the corridor." ”

"This!" Director Wen was stunned.

"I mean organize a hospital-wide consultation, let's make it clear in person, and the patient will be transferred. As for whether it can be cured, it has nothing to do with our general surgery. Now the gastroenterology department is doing something wrong, and it is wrong to pass the finger on the patient at any time, but you can't leave the patient in the corridor anyway. ”

Director Wen thought for a few seconds and beckoned, "Chen Yong, you bring the patient in." ”

"Xiao Luo, will you report to Director Lin or will I come in person?" Wen Youren was very dissatisfied with Luo Hao's treatment, and asked angrily with a pouting urn.

Personally?

Luo Hao almost didn't laugh when he heard Director Wen say this.

Director Wen really takes himself seriously, and the word "personal" sounds a little funny.

"Director Wen, let me report first, there are a lot of trivial things, Director Lin knows about it, and then you can show your attitude and apply pressure." Luo Hao gave advice very intimately.

Seeing that Director Wen was still not satisfied, Luo Hao smiled, "I would suggest that the scale of the whole hospital consultation be larger, as long as all relevant departments or departments related to geriatrics come." Let's make things clear in front of the directors of all departments in the hospital, this matter is not authentic. There are more people, and they will have scruples next time they do this. ”

"That's right! Call all the directors of the hospital and see what the gastroenterology department is. Director Wen agreed in a low voice.

Luo Hao's every word spoke to his heart.

In Wen Youren's view, this matter is a deliberate prevarication by the Department of Gastroenterology.

I can't treat a tricky patient by myself, and then I ask the patient to be hospitalized in the Department of General Surgery under the pretense that the patient had had a cholecystectomy 20 years ago.

It's just a big joke in the world, 20 years ago, what does the cholecystectomy that the patient did 20 years ago have to do with the current liver abscess!

!!

Director Wen looked at Luo Hao with great satisfaction, and felt that this young man was simply outstanding, he saw the essence of the problem at a glance and was willing to help the general surgery department out, instead of making peace with the mud.

"Xiao Luo, it's hard work." Director Wen said a rare word of hard work.

"Director Wen, it's not hard, this is what I should do. You get busy first, I'll report on the situation. ”

Luo Hao did not go back to the medical office directly, but helped Chen Yong to take the patient in and learn as much information as possible.

According to Luo Hao's own judgment and the definitive diagnosis calculated by the diagnostic aid, Luo Hao believes that the diagnosis of sewage pool syndrome is correct.

However, Luo Hao knew that the stakes were high, asked about the medical history, and knew that the operation 20 years ago was also done in the mine, so he went to the medical record room.

Until he found the "ancient" medical record, Luo Hao's face showed a determined smile.

Back at the medical office, Luo Haoxian and Lin Yuming reported the patient's condition.

"The operation was done by the old director of surgery Guohua 20 years ago, and I also went to the medical record room and borrowed the medical records of that year."

"20 years ago...... At that time, it was good to be able to write medical records, and they were basically copied by interns. Lin Yuming asked, "Is it valuable?" ”

"Yes!" Luo Hao took out a yellowed medical record and put it on the table, "The major medical records and disease course records have no reference value, but the handwriting of the surgical records is different from that of the person who wrote the major medical records, I think it should be written by Director Guohua himself back then." ”

"Oh?!" Lin Yuming's eyes lit up.

Now it is an electronic medical record, and the director and surgeon rarely write surgical records.

Back then, it was a handwritten medical record, and the old director of Guohua could write the surgical record by hand, there must be a reason!

"The patient's condition is somewhat special, although the diagnosis of cholecystitis and gallstones, Director Guohua did not have a simple gallbladder removal during the operation, but also did a difficult bile duct duodenal lateral anastomosis operation."

"Director Guohua wrote very clearly that the patient had common bile duct sediment-like stones, so he did a lateral bile duct duodenal anastomosis."

Lin Yuming found the page of the surgical record and flipped it gently.

Time has passed, and this medical record has not been turned over since it was put into storage.

There was a light musty smell wafting from the medical records, silently telling future generations everything that happened back then.

"How is the patient diagnosed now?" Lin Yuming asked directly.

"Cesspool Syndrome."

“？？？” Lin Yuming had a question mark on his head.

"This disease, also known as blind end syndrome, blind pouch syndrome, and blind fossa syndrome, is a rare complication after lateral bile ductoduodenal anastomosis.

It refers to a series of clinical symptoms caused by the accumulation of food residues and stones in the blind bag formed from the biliary and intestinal anastomosis to the ampulla of Vater after the lateral anastomosis of the common bile duct duodenum. ”

Lin Yuming could roughly understand what Luo Hao described.

"Do I need surgery?"

"In the past, surgical intervention was required. However, in the last decade, endoscopic papillary sphincterotomy, commonly known as ERCP, is mainly used for treatment. ”

"Endoscope." Lin Yuming's hand tapped lightly on the medical record.

A ray of sunlight shone in, and in the light, the dust in the old medical records flew up and drifted gently.

Lin Yuming was pondering.

Hit the snake and hit the seven inches.

There must be conclusive evidence to beat Wen Youren to death with a stick, even if he doesn't die, he has to be unable to raise his head in the mine.

Beating Wen Youren is only one of the purposes, Lin Yuming also wants to take the opportunity to develop new technologies.

It was great to listen to what Luo Hao said, but the key was that Lin Yuming didn't know what was going on at all.

Twenty years ago, the postoperative complications were delayed for so long before they broke out, and Lin Yuming subconsciously felt that it was not very likely.

But his trust in Luo Hao in his heart is increasing day by day.

Catching a glimpse of Luo Hao out of the corner of his eye, Lin Yuming was in a trance, and before he knew it, Luo Hao was already a young man.

In the light and shadow, I saw the old friend in a trance.

Luo Hao is really like his father.

"Uncle, do you still have any questions? I think I can consult Teacher Liu, if Teacher Liu can't be sure......" Luo Hao saw that Lin Yuming didn't speak, thinking that he had concerns, so he gave his own advice.

"What other tests do I need?" Lin Yuming asked.

"Magnetic resonance cholangiopancreatography."

"Okay, what did you and Wen Youren say, tell me again."

Luo Hao repeated his conversation with Director Wen Youren Wen again, word for word.

"When taking a patient for an examination, the diagnosis must be clear and there must be no ambiguity. If you're not sure, just tell me, I'll consult an expert in the province, and of course, you can also consult your teacher. Lin Yuming said in a low voice.

"Okay."

Luo Hao left, and the A4 paper in front of Lin Yuming was full of words that only he could understand.

Picking up the mobile phone, Lin Yuming called Deputy Director Liu.

"Sixth, you said that the cholecystectomy twenty years ago, if there were complications, would it have appeared a long time ago?" After a brief description, Lin Yuming asked.

"Mr. Lin, generally speaking, the peak period of complications occurs within 5 years after the lateral anastomosis of the common bile duct duodenal anastomosis. 20 years, it's not uncommon. Liu Haisen replied.

But as soon as the conversation changed, Liu Haisen said very easily, "Boss Lin, it's not the diagnosis you gave, nor the diagnosis given by the directors of your mine general, it's Luo Hao, I guessed correctly." ”

"......" Lin Yuming was stunned.

"This disease is not common, and I am afraid that the common bile duct duodenal lateral anastomosis will not be able to be done by your mine." Liu Haisen said, "I can't even do surgery, let alone complications in 20 years." ”

"It was Luo Hao who told me, I'm not sure, so I'll ask you."

"It's right to do an MRI next, and there are several solutions after the diagnosis. In the past, it was solved by surgery, which was difficult and risky; Recently, Director Shi has done several cases of similar patients sent by the following city hospitals, and the results are good. ”

“！！！” Lin Yuming's eyes lit up.

"Do you have any ERCP equipment?" Liu Haisen asked.

"Yes." Lin Yuming joked, "A few years ago, there was money in the mining area, and almost all new equipment was bought as long as it was requested, and it was still the most advanced. It was nice back then, it wasn't as bad as it is now. ”

"It's been ten years, can it still be used?"

"It should be able to be used, although I am eating ashes, but every year the manufacturer comes to maintain me." Lin Yuming said, "ERCP can be solved, right?" ”

"Well, but you have to have all the information. In this way, Boss Lin, you don't understand, I'll communicate with Luo Hao. ”

You don't understand, it's a bit choking.

But Lin Yuming didn't take it to heart, when he was in college, there were more ugly words than this, they were all daily, they were all daily.

And that's the truth.

Hanging up the phone, Lin Yuming took the pen and swiped it on the A4 paper, ghostly writing what to do next.

Wen Youren?

Hey!

Lao Tzu gives you a good look.

……

……

Luo Hao and Wen Youren "reported" and persuaded him to do magnetic resonance cholangiopancreatography for the patient.

Wen Youren's level only stays at simple cholecystectomy, gastric resection, intestinal resection, and anastomosis, and the difficult diagnosis and differential diagnosis of pancreatic duct and bile duct can be said to be ignorant.

He gladly agreed.

A few hours later.

The patient underwent anti-inflammatory symptomatic treatment and the pain was relieved.

Luo Hao and Chen Yong took the patient to have an MRI cholangiopancreatography.

After the image came out, Chen Yong frowned and looked at the image on the screen, "Luo Hao, there is a hyposignal filling defect with unclear contour in the intrahepatic and external bile ducts, and there should be a foreign body." ”

"Well, consider the presence of intestinal contents at the choledochoduodenostomy that is causing obstruction."

"Sure enough!!" Chen Yong clenched his fists, Danfeng's eyes narrowed into a line, staring at the screen, "My master said that the patient is likely to have had a lateral anastomosis of the common bile duct duodenum!" The images prove that Master is right! ”

Luo Hao nodded, Jiang Wenming is really powerful, and it is a pity to be out of the clinic.

But there is no way, everyone has their own ambitions.

"I just said, Director Wen must be wrong. Luo Hao, doesn't your medical office say anything? Chen Yong asked.

"Mean? What do you want to indicate? Luo Hao asked.

"Clinical treatment, right is right, wrong is wrong, black and white!"

When it comes to black and white, Chen Yong's eyes are extremely determined.

He didn't wear a three-layer mask, and his handsome face seemed to have four words written in black and white.

"Director Wen is the director after all, so you have to consider his face." Luo Hao said vaguely.

"You ...... What a dog!! Chen Yong was furious.

It's really easy to get angry, Luo Hao smiled slightly.

"As long as the patient is properly treated, the disease can be cured, isn't it?" Luo Hao asked.

"What about it? Director Wen's level is so low, and he wantonly suppresses other doctors. My master did a good job in the operation, but he forced him to go to the outpatient clinic. ”

"The outpatient clinic is also very good, at least you don't have to work night shifts. Besides, don't you think you have the idea of public and private use in your heart? It doesn't seem to be so noble. ”

Luo Hao said a few sentences, turned around and began to prepare the video materials.

Liu Haisen pulled a group and gathered himself, Luo Hao, Lin Yuming, and Director Shi in the group to facilitate discussions.

After checking all kinds of information and finding nothing missing, Luo Hao sent the patient's cloud to the group.

[Mr. Shi, please take a look at it and see if our diagnosis is correct. 】

[Wait a minute, I'll take a look.] 】

A few minutes later, Director Shi replied with a message.

It wasn't until the patient was sent back that Director Shi left a positive answer.

Luo Hao's diagnosis was correct, and the patient was recommended to undergo endoscopic papillary sphincterotomy + biliary debridement.

The rest of the world is not Luo Hao's concern.

The uncle is going to clean up Director Wen, otherwise Director Wen will really not be able to get over this kind of two-five thing that Director Wen will tell the hospital by the patient's family.

"You've gone too far." Chen Yong was still rambling, but his voice was much quieter after being scolded by Luo Hao for two sentences.

"It's okay, it's okay, at least the patient has a diagnosis." Luo Hao comforted, "Director Lin is contacting experts from higher-level hospitals to do minimally invasive surgery, you can rest assured that the disease will definitely be cured." ”

Chen Yong's face looked a little better, but he was still full of disdain for Luo Hao.

Luo Hao also has a good impression of this young doctor who thinks that black is black and white is white. Even if Chen Yong has always been very disdainful of himself and slightly hostile.

"Let's go, smoke a cigarette, don't be angry." Luo Hao settled the patient and pulled Chen Yong to the fire escape.

"Smoke-free hospital!" Chen Yong's words were very hard.

"Harm, I can see your master smoking." Luo Hao didn't care, smiled, "Let's go, don't be angry." ”

Chen Yong glanced at Luo Hao, as if he remembered something, and stood up "reluctantly".

When the two went out, they were greeted by a beautiful woman of 1.7 meters, about 25 or 6 years old, wearing a long yellow coat, stockings, and high heels.

Just this outfit, coupled with the current weather, Luo Hao shivered when he saw it.

The frost resistance index of the beauty is really against the sky.

"Why are you here?" Chen Yong stood up and asked with a straight face.

"You say, I can't come yet? Did you delay your date with the little nurse? The woman smiled and only made a joke, for fear that Chen Yong would be angry, and said softly, "I've brought you food." ”

“……”

Looking at the insulated lunch box handed over by the woman, Chen Yong didn't reach out to take it.

Chen Yong is good, there are still people delivering food, Luo Hao stood aside and watched the excitement.

"Bao, tell you something." The woman said affectionately.

"You say."

"If we quarrel again, can you not be angry and come over and hug me, just hug me." The woman said delicately, "We are lovers, not enemies, don't always keep a straight face." ”

"Do you know that at that time you were more difficult to press than the pig of the New Year?" Chen Yong asked.

"You!"

Luo Hao stretched out his hand and pushed Chen Yong behind him.

"I will prepare the materials for the whole hospital consultation in a while, hurry up." Luo Hao reminded Chen Yong in a whisper.

Chen Yong realized that now was not the time to fall in love, so he took the lunch box and whispered a few words to the woman.

The woman smiled and turned away.

The card-yellow coat seems to be smiling like a flower, a blooming flower.

Coming to the fire escape, Luo Hao quipped, "Yes, there are people delivering food." I've been in the hospital for almost two years, and I've never seen anyone in my family delivering food. ”

"It's boring." Chen Yong took out a cigarette, didn't give it to Luo Hao, lit it by himself, and sat on the steps with a big grin.

"You don't admit it when you put on autumn pants, a typical scumbag thinking."

"." Chen Yong said, "Lao Tzu does things above board, and he said at the beginning that he would only fall in love and not get married." ”

"Uh......"

"It's not like I'm hungry."

"!"

Luo Hao really didn't know that Chen Yong was so narcissistic, and he didn't know who gave him the courage.

"That girl looks good."

"A wise man does not fall in love unless he meets a rich woman."

"Who did you learn all this talk from?" Luo Hao asked.

"My master." When Chen Yong talked about Jiang Wenming, his tone softened a little.

“……”

"My master said that there are several ways to do good deeds and accumulate virtue in the latest - not to persuade people to get married, not to persuade people to have a second child, and not to prevent people from getting divorced."

"He's single?"

"Well, it's been five or six years since I got divorced."

Luo Hao thought of his uncle, according to Jiang Wenming's standards, his uncle was not considered to be doing good deeds and accumulating virtue.

"Write the medical records well, and when you finish writing them, I'll review them."

“！！！” Chen Yong looked at Luo Hao with the eyes of a fool.

"You're going to bully people, aren't you?" Chen Yong said disdainfully, "Director Wen, if you don't dare to move, you will know that bullying the little doctor is a raccoon dog." ”

"It's all for your own good." Luo Hao smiled.

"Everything is done under the banner of your good, which is also the mantra of the old men of the agency. What's the other thing? By the way, if you want to do it, if you don't dare, you will get out, not one of you. If you have the ability to go to the pediatric department, you see if the pediatric department of our hospital can hold it. ”

"So many whining words."

"Grumbling? I'm just stating a fact. Chen Yong already regarded Luo Hao as a member of the old men in the agency, and he didn't bother to say a word.

He snuffed out his cigarette and staggered out of the fire escape.

Luo Hao ignored Chen Yong, if he wrote the medical records well, he would be able to become a little transparent when the whole hospital consulted.

Otherwise, Chen Yong may be taken out by Director Wen to block the gun.

Luo Hao only had a good impression of Chen Yong's master, Jiang Wenming, and had no interest in this guy who was messing around with flowers and grass and had an untimely stomach.

Lighting a cigarette, Luo Hao sat on the steps of the fire escape and began to ponder the ERCP operation in detail.

Mr. Mine has never had a similar operation, and it is very important to do it before surgery.

Luo Hao cautiously used the systematic surgery training time.

The first operation was 70% complete.

Luo Hao came to his senses in an instant, there was an operation that was difficult when the Nets took stones, and they needed to keep improving.

But that's secondary.

After an operation, Luo Hao realized that some consumables may not always be available.

After thinking about it for a while, Luo Hao took out his mobile phone and made a call.

"Manager Yin, I remember that the company invested in a medical device company three years ago."

"Mr. Luo, yes." A deep, magnetic voice came from across the phone.

"Is there any ERCP surgical consumables? I need it, it's urgent. Luo Hao put forward a demand.

After selling bitcoin that year, Luo Hao put some of his money in a long-established trust company in Xiangjiang.

But the rich died in trusts.

After that, Luo Hao took out 75% of the funds, more than half of which were deposited in the bank for fixed term, and the other part set up two companies - Luolin Real Estate Company and Luolin Investment Company.

There are professional managers in charge of taking care of it, and Luo Hao doesn't need to worry about it.

He vaguely remembered that he had invested in a domestic medical consumables company, and it happened that he was in need now.

Luo Hao glanced at the system panel in the upper right corner of his field of vision, and the lucky value of 33 was shining.

"Mr. Luo, I'll ...... the relevant content in 30 minutes"

"Don't be so detailed, if there are consumables for ERCP, please ask Manager Yin to help me find one, and I will use it for surgery." If not, buy one temporarily, or help me bring consumables over through the channel of a medical consumables company, you can see it. ”

There was silence on the other end of the phone.

"Okay, that's it, I'm busy here, waiting for your news, Manager Yin."

"Okay, Mr. Luo, as you wish."

After hanging up the phone, Luo Hao entered the operating room of the system again and began surgical training.

A few minutes later, Luo Hao left the fire escape satisfied.

The completion of the operation was 100%, although the cost was that the systematic surgical training time was exhausted, but Luo Hao was still very satisfied.

Back at the doctor's office, Chen Yong wrote the medical records without saying a word, as if he didn't know Luo Hao.

Luo Hao didn't care either, standing behind Chen Yong and watching him write medical records.

"Hey, can you not stand behind me!" Chen Yong immediately protested.

"Sooner or later, you have to show me, I will be stationed in the Department of General Surgery on behalf of the medical department." Luo Hao said lightly.

“！！！”

Chen Yong finally understood why Master chose to go out of the outpatient clinic.

Although the outpatient clinic also has to deal with these old men, it is relatively rare.

Md！

Chen Yong scolded in his heart and no longer ignored Luo Hao.

"Xiao Luo, come on."

Just when Chen Yong was awkward, Director Wen appeared at the door of the doctor's office to greet Luo Hao.

For the first time, Chen Yong felt that Director Wen looked a little pleasing to the eye.

"Xiao Luo, how many people are there to participate in the consultation of the whole hospital?" Wen Youren asked.

"It should be enough."

"Should? That's not going to work. Wen Youren was not happy, "The Department of Gastroenterology relies on itself to be an upstream department, and always stuffs some incurable diseases that should belong to them to our general surgery. This is an unhealthy trend, and it must be stopped! ”

"Director Wen, you're right." Luo Hao smiled.

"I suggest, just suggest, I hope Xiao Luo and Director Lin will mention it."

"Director Wen, you speak."

"In this hospital-wide consultation, I suggest that it be done in the form of a large ward round, and the directors of all departments should participate."

Luo Hao smiled happily, he saw Wen Youren dig a pit for himself and then jumped down.

contacted Lin Yuming, there was no resistance on that side, and finally the whole hospital was consulted in the lecture hall.

Within 4 hours, Luo Hao made a PPT.

Although the time was tight, Luo Hao still completed all this in an orderly manner.

At the urging of Wen Youren, Luo Hao and him came to the lecture hall.

More than half of the directors of the many departments in the hospital have already arrived, and their expressions are serious, and they realize that something is wrong, and that something big is about to happen today.