"I won't say much else, it's all our old mine boss, everyone here is my senior, and everyone can see the changes over the years."

"When you talk about medical treatment, you talk about curing diseases. Director Wen, you are a provincial famous doctor, and you were the first person in our mine to be evaluated the year before last. ”

"The patient's past history is not difficult to understand, and the medical records written by the old director are eaten in the medical record room. Why did the old director write the medical records by hand? I think there are several reasons, one of which is! ”

As he spoke, Luo Hao paused and looked around at the doctors present.

At this moment, all the directors and responsible attending doctors in the lecture hall were in a trance.

Luo Hao, who was standing on the podium, was so young, although he was heartbroken, his smile was still sunny.

The look in his eyes just now was completely different from everyone's inherent perception of Luo Hao, and everyone seemed to see Lin Yuming's shadow in Luo Hao.

No, it is sharper than Lin Yuming when he was young, and even not inferior to Director Lin, who is now old and feared.

The old director was worried that the patient would have complications after the operation, and that it would occur many years later when he was retired or even gone. So! He was afraid that the little doctor would not be able to write the operation record, so he personally wrote it by hand to record the key points of the operation at that time.

In the unlikely event that the patient has complications in the future, the doctor who receives the patient will be able to solve it in a targeted manner. ”

After speaking, Luo Hao looked at Wen Youren, "The old director taught the operation by hand, why didn't Director Wen learn the old director's caution and seriousness?" ”

As soon as he spoke, Wen Youren's face turned from red to black.

Luo Hao smiled, "Director Wen, calm down, now let's go back to the case and say something fair, the medical department thinks Director Wen's opinion is right." ”

？？？

！！！

Except for Lin Yuming, everyone was confused by Luo Hao's words.

Pointing at Wen Youren's nose and scolding, he had almost raised his family's ancestral grave, and it was written in the genealogy of Wen Youren's family that Luo Hao visited here, and he almost urinated like a monkey.

But Luo Hao turned around and said that Wen Youren's opinion was right!

What is Luo Hao doing?

What is the infirmary doing?!

"In the past, surgery was the first choice, but now, times are different."

"ERCP+ESD is the first choice."

As he spoke, Luo Hao turned around and looked at Lin Yuming.

Lin Yuming slowly put down the enamel jar in his hand.

"Phew~"

He snorted quietly and spat out the tea dregs in his mouth.

"Everyone has heard the diagnosis and treatment opinions of the medical office, do you have any different opinions?"

Lin Yuming asked.

There was silence in the lecture hall.

Luo Hao has just given the basis for diagnosis, differential diagnosis, and confirmed diagnosis, which is reasonable and well-founded, and even moved out the operation record handwritten by the old director in order to prove his correctness.

Opinion?

How can there be an opinion.

Who dares to have an opinion!

Some people have lowered their heads, holding their mobile phones in their hands, and searched for relevant content of sinkpool syndrome on CNKI.

Lin Yuming waited for a few seconds and said slowly, "ERCP, it hasn't been carried out in our hospital yet. A few years ago, the equipment was bought, but there was a shortage of people. Director Wen, Director Li, tell us whether the patient should be admitted to the Department of General Surgery or Gastroenterology. ”

Wen Youren's face turned the color of pork liver.

"Director Lin, stay with us." Director Li stood up and said, "The gastrointestinal endoscopy room itself is under our control, and the business is similar. It was my fault that this patient was sent to the Department of General Surgery, and I apologize to Director Wen here. ”

As soon as Director Li's voice fell, he turned his head and apologized to Wen Youren.

Lin Yuming's words are already very clear, whoever takes this patient will be responsible for carrying out ERCP surgery in the future.

If it were usual, Director Li might think about it and weigh the pros and cons before making a decision.

But he was scolded by Wen Youren just now, and his heart was full of anger, and the medical office helped him to scold Wen Youren back, and he definitely wanted to catch this cake.

Even if it is not a cake but a scale, as long as it can make Wen Youren feel uncomfortable, Director Li is willing to do it.

"Where's Director Wen?" Lin Yuming asked unhurriedly.

Wen Youren was silent, his face was wonderful.

Seeing that Director Wen didn't speak, Lin Yuming knocked on the table and arranged many follow-up matters.

"It turns out that the medical department has already looked for an expert from the first year of medicine......"

In the lecture hall, one of the attending doctors in charge lowered his voice in surprise and said to his director.

The director's face was solemn, and his lips moved as he looked at Lin Yuming, who was holding the enamel jar in his hand.

"Director, the medical office is hanging Director Wen up and beating him."

"Yes and what." The director said in a voice that only he could hear.

"Huh?"

"Lao Wen is not authentic, no wonder the medical department is so ruthless. After more than ten or twenty years of rampant trafficking, it finally hit the wall. ”

"How will Director Wen see people in the hospital in the future?"

"I don't know how to see a doctor, and I still blame others? If we are doctors, food is the original sin! ”

In the lecture hall, there was a lot of discussion, and the doctors were talking quietly while looking at Lin Yuming and Wen Youren.

Lin Yuming's arrangement was very simple, and the meeting was adjourned in less than two minutes.

In a unique hospital-wide consultation, the directors of various departments have become monkeys, and Wen Youren is the chicken that was killed.

The meeting was adjourned, and the people departed.

"Old Wen, wait a minute." Lin Yuming greeted with a smile.

Wen Youren greeted him with a smile when he saw Lin Yuming as if nothing had happened, and the knife under the smile poked into his chest, and the heart attack almost didn't occur on the spot.

Lin Yuming is not a good person, he hides a knife in his smile, and when he really stabs himself, he is ruthless.

The most important thing is that he stabbed himself so much, and he called himself Lao Wen with a smile, as if nothing had ever happened.

"Old Wen." Lin Yuming walked to Wen Youren's side with an enamel jar, "Originally, I was going to let the general surgery department take over the ERCP, and the two departments of the gastrointestinal endoscopy room will share it together." After all, it is an operating department, and if there is an accident, it is good to have an emergency. ”

Director Li seemed to be whipped to the back, and he was excited.

"It's a pity that you won't be able to give you a chance."

Lin Yuming patted Wen Youren on the shoulder and left regretfully.

Give you a chance to be useless!

These words were like a sledgehammer hammering on Wen Youren's coronary artery.

Eighty~

Eighty~~

Eighty~~~

Knock~knock~~knock~~~

Wen Youren's eyes flickered, and he almost didn't fall.

With cramping in the precordial area and difficulty breathing, Wen Youren felt that his three coronary arteries spasmed at the same time.

……

……

"Little Snail, you're doing a good job of discussing cases."

In the medical director's office, Lin Yuming did not hesitate to praise.

"It's okay, I always do something like that when I was in school, I'm used to it."

"But there are some things that are better for an old guy like me to come forward, and you can be gentle. Just now, it's a little sharp. It's so offending that I should say the curse words. Lin Yuming said.

"I thought about it, and it didn't work. I've already torn my face, and there's no point in worrying about so much. Luo Hao said calmly, "And Wen Youren asked the patient's family to sue Teacher Liu, who was flying knife, I can't accept this kind of thing." If I don't scold him, my heart is unstable. ”

Lin Yuming looked Luo Hao up and down, holding the enamel jar in his hand, smiling without saying a word.

"By the way, uncle, I have something to report to you."

"You say."

"We always have the equipment for ERCP surgery, but we don't have the consumables."

"I'll contact Director Shi and ask him to bring it."

Luo Hao nodded, and didn't mention what he had explained to Manager Yin.

Just make a supplement on his side, Luo Hao has always been cautious, cautious and low-key.

"Uncle, the last sentence you said almost didn't make Director Wen have a heart attack." Luo Hao said with a smile.

"Tell me the truth." Lin Yuming said, "Cardiac surgery does not do interventional surgery, but the circulatory department does." General surgery does not do gastrointestinal endoscopy, but gastroenterology does. The boundaries between medical, surgical, and non-surgical departments are becoming more and more blurred, and I think you know better than I do. Times, different.

Twenty years ago, I couldn't see it clearly, it should be, but what age is it now, I can't see it? Stupid hung up on the picture. ”

Luo Hao nodded.

It was true that Wen Youren was given a chance, but he was useless.

"That sentence is also to tell the directors of other departments that there will be opportunities in the future, and I hope they can grasp it."

"Uncle, are you going to ......?"

"There is too much pressure on the medical insurance side, and the treatment of many diseases cannot rely on the previous path. Now you have to change if you don't want to change, and you have to change if you don't want to change. ”

"It's useless to complain, just change the way. The sooner you change, the more days you can have. As for the future, who knows. Maybe one day the United States will suddenly become more than a dozen countries, and our life will be better. ”

Well, the responsibility lies with the American side, Luo Hao thought with a smile.

……

……

"Master, you didn't go to the hospital-wide consultation, Director Lin is too awesome!!" Chen Yong said to Jiang Wenming with excitement on his face.

"Huh." Jiang Wenming looked at the outline in the document and smiled absentmindedly.

"I didn't expect Master, you are right, Director Lin is not cowardly, but looking for an opportunity to give Director Wen a ruthless blow."

"I see it." Jiang Wenming said, "Just after the meeting, I received a lot of WeChat. ”

"Huh?"

"I've been working in the hospital for more than ten years, and I have a few fox friends, they told me." Jiang Wenming smiled, "Luo Hao, this little guy is quite interesting. ”

Speaking of Luo Hao, Chen Yong was silent.

Only this time, his neck was a little soft and unstalked.

"I made a PPT in such a short time, which is reasonable and well-founded, and Director Wen was speechless. This is the crushing of basic medical knowledge, which belongs to the dimensionality reduction blow. Director Wen has a bad temper, Luo Hao pointed at his nose and scolded, which was really happy! ”

"By the way, Chen Yong, have you asked Luo Hao to go to the Internet café?"

Chen Yong shook his head with a bitter face.

"Luo Hao doesn't play games, he is even more bitter than you, Master."

"Am I miserable? Where is it, how comfortable Lao Tzu is. Jiang Wenming said, "Besides, how can young people not play games...... So how is your relationship with Luo Hao? ”

Chen Yong remembered that he had just reprimanded Luo Hao in the fire escape, and his mouth was bitter.

"You." Jiang Wenming knew that he was a little apprentice, and he sighed, "Believe me, go to Luo Hao, and try to join his medical team." ”

"He's still in the medical office, where is the medical team."

"You're just stubborn." Jiang Wenming took his eyes off the document and looked at Chen Yong deeply, "First the cyst puncture, and then Director Lin vigorously promoted the ERCP, I guess it was caused by too much pressure on the medical insurance side." ”

"It's a good opportunity, I didn't have that good thing when I was younger. The pie is smashed on the head, you have to be prepared, know that it is a pie, otherwise...... What did Director Lin say about that? ”

"Give you a chance, and you're useless."

！！！

Chen Yong was stunned.

There's something about it here.

Opportunity, is this an opportunity?

……

……

After three days, the patient was stabilized after anti-inflammatory symptomatic treatment.

Lin Yuming contacted Director Yishi of the Medical University to perform the operation.

Because the mine only has machines and no consumables, Director Shi took the manufacturer's sales to Donglian City.

Selling flying knives with manufacturers was the norm a few years ago. With the deepening of the anti-corruption campaign in healthcare, very few people have done so.

Director Shi and the manufacturer manager sat in the high-speed rail business warehouse, and he felt awkward.

If it weren't for Luo Hao's jade, Director Shi would definitely not come, at most, for Liu Haisen's face, he would leave a bed for the patient and let the patient come to the provincial capital to see a doctor.

After getting off the train, Director Shi saw Luo Hao's sunny smile.

The worries along the way are gone.

Luo Hao, this kid is really good, how pleasing to the eye.

"Hello, Mr. Shi." Luo Hao stepped forward.

He glanced at it, and instead of picking up the trolley case sold by the manufacturer, he took Director Shi's backpack.

"Xiao Luo, how are you preparing?"

"Mr. Shi, the last time we did ERCP was 5 years ago, and we were also invited professors, and we only did one case. Now there is a lot of waste to be done, if you have any requirements, we will do our best. Luo Hao replied.

Director Shi knew that Luo Hao's basic skills were quite solid, and he had communicated with him for a long time in the group, and the patient's information was detailed, with surgical indications and no contraindications.

Luo Hao is worried about consumables.

"I brought it with the manufacturer." Director Shi whispered, "It's only this once, not for example." If this is something that people grasp, it will be difficult to explain it later. ”

"Okay, okay, Director Shi, don't worry." Lin Yuming said.

To treat a disease or perform an operation, you have to be like a thief, Director Shi thinks it's funny.

He chatted with Lin Yuming lightly, and pulled Luo Hao into the car.

"Xiao Luo, you come to give me a stage today, and I'll see your level."

"I haven't done it." Luo Hao replied modestly.

Lin Yuming's face was a little ugly.

The ERCP procedure is performed with an endoscope and X-rays are also used to remove the stones.

If it was Luo Hao's request, Lin Yuming would definitely deny it without hesitation, and then hang Luo Hao up and scold.

But this is Director Shi's request, and there seems to be other meanings implied after the request.

So Lin Yuming didn't speak.

"Haven't done it? I don't believe it. Director Shi laughed, "I have read all the preoperative preparations, they are very detailed, if my doctors are half as careful as you, I will go to the temple to burn incense on the first day of the new year." ”

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

He didn't expect Director Shi to give Luo Hao such a high evaluation.

"If it weren't for you, I wouldn't have come here for surgery." Director Shi said frankly, "It is said that it is to cure diseases and save people, but in the eyes of others, it is all medical corruption." Forget it, don't talk about this, you prepare, you give me a hand during the operation. ”

"Okay, Mr. Shi."

Luo Hao was not hypocritical and responded.

"Xiao Luo, we have little contact, but there is one sentence I still have to say, let's talk about it in a shallow way."

"Teacher Shi, you are too polite, a young man like me definitely needs the guidance of senior teachers."

"Playing games?" Director Shi asked a nonsensical question.

Luo Hao was stunned for a moment, and then replied, "Play." ”

"Do you watch League of Legends games?"

"Look."

"In 2018, Team IG won the championship in the League of Legends S8 tournament held in Incheon, you know."

"Go over the mountain and they'll hear your story."

Luo Hao immediately understood what Director Shi was going to say.

Lin Yuming and the manufacturer's sales listened to the dew.

"It's true that everywhere is to cure the sick and save people, but the greater the ability, the greater the responsibility." Director Shi is even more satisfied with Luo Hao, and it is really effortless to talk to smart people.

"I don't know why you didn't stay in the Imperial Capital, but returned to Donglian City. But climb over the mountain and they'll hear your story. ”

Director Shi advised.

"Thank you, Mr. Shi."

"You're welcome, have an idea to contact me." Director Shi said, "If you feel worried, you can go through the study procedures first and get used to it in the first year of medical college." By the way, what is the scope of your license? ”

Luo Hao was a little embarrassed, he scratched his head, "Teacher Shi, I have 7 practice certificates. ”

“！！！”

Director Shi was shocked.

He stared at Luo Hao carefully, as if he had seen this young man for the first time.

7 intermediate certificates, 7 areas of practice, there should be countless stories behind this.

Say it casually yourself - climb over this mountain and they will hear your story. Unexpectedly, Luo Hao is really a young man with a story.

"Good, good! Good!! ”

Director Shi said three good words in a row.

Lin Yuming was also a little surprised, if Luo Hao was scheming, he wouldn't believe it anyway.

But other than that, there is no reasonable explanation.

"It depends on what you mean, the doctor's platform is still very important." Director Shi glanced at the manufacturer's sales and said reservedly, "Now it's not only the doctors who don't want to deal with the manufacturer's people more, but the manufacturer also doesn't want to deal with the doctor more." ”

"After all, do you want to avoid suspicion?"

"To put it mildly, it is basically impossible for you to find another doctor in the province to go to Donglian City for surgery with the manufacturer's sales and consumables. Why am I able to do it? ”

"Platform and technology." Luo Hao said, "The platform of the first year of medical college, Mr. Shi, your technology is what the manufacturer needs." ”

"Yes, you can't leave either." Director Shi said, "Go over this mountain, and they will hear your story." Donglian City is too small, you can easily flip over. ”

Luo Hao nodded thoughtfully.

Director Shi saw that Luo Hao did not give a clear answer, and he was not in a hurry. Lin Yuming was even more attentive than Luo Hao, and inquired from the side, but Director Shi diverted the topic.

Come to the hospital and look at the patient first as usual.

Many experts and professors arrive at the hospital when the patient is already lying on the operating table, but this is not compliant, and it is somewhat risky.

Seeing the patient before surgery is a must.

After a few days of symptomatic treatment, the patient's condition has been relieved, and Director Shi brought people to the operating room after seeing the patient.

Luo Hao helped Director Shi put on a lead coat, and Director Shi went to brush his hands.

When Luo Hao was wearing a lead coat, Lin Yuming walked to the locker room and looked at Luo Hao seriously.

"Lead scarf, lead cap."

"......" Luo Hao looked helplessly at the passive ability of [Energy Transformation], and felt helpless.

Because Lin Yuming did not allow Luo Hao to do interventional surgery, he has not had a chance to try it during this time to see if this passive ability is good or not.

Today, Director Shi asked, Lin Yuming didn't say a word, but he still asked Luo Hao to put on a neat coat before coming to the stage.

Luo Hao didn't try to talk back to his uncle Lin Yuming, and carefully put on a lead hat and a lead scarf around his neck.

"Director Lin, don't worry so much." Director Shi said, "The operation was very fast, and the time to eat the thread was less than 5 minutes. ”

"Huh." Lin Yuming smiled dryly, without a trace of compromise.

Luo Hao walked into the operating room under Lin Yuming's eyes.

The gastroscope passed through the esophagus and gastric cavity smoothly, and the main RT was found in the duodenum, and the RT was RT type (this is what the surgical record says...... There are also other shapes, not verbose description), open stomach villous.

Luo Hao stood beside Director Shi, his eyes looked at the position of the mirror on the screen, and the corner of his eye did not miss Director Shi's movements.

As soon as Director Shi raised his hand, Luo Hao handed him the imaging catheter.

The movements were so silky that Director Shi paused, as if he was stuck.

After the contrast catheter is inserted, 30% gastrografin is contrasted, and the bile duct is developed.

An X-ray was taken, and the image showed that the common bile duct was about 2.0 cm in diameter, and several filling defects were visible in it, which were round and irregularly shaped, with a maximum of about 1.5 cm x 1.2 cm, and the filling defects were movable.

Luo Hao tried to treat the patient with the only remaining surgical training time, and the patient had stones in the intrahepatic bile duct.

The image once again proves the reliability of the system.

Out of the corner of his eye, he saw Director Shi stretching out his hand again, and Luo Hao handed him the pull incision knife that had been prepared a long time ago.

It's like Director Shi originally had a pull incision knife in his hand, the movements were round and silky, as if Director Shi was a great magician, and the pull cut knife would appear when needed, and the knife would disappear when it was not needed.

"Xiao Luo, look at this." Director Shi knew what he needed as soon as he raised his hand, which proved that Luo Hao's level was very high, so he was more appreciative of Luo Hao's attitude and close to his words.

"There's a stone stuck in the common bile duct." Luo Hao said.

"There are not many people in the province who can take out the stones." Director Shi looked at the screen with a smile, "I'm one of them." ”

Luo Hao waited and seeed.

As soon as Director Shi stretched out his hand, the three-claw basket net fell into the palm of his hand.

He didn't look at it, weighed it, and frowned.

"Xiao Luo, I don't want this, give me a ......"

Halfway through his words, Director Shi realized that he was not doing surgery at home, but at the General Mine Hospital in Donglian City.

The smooth operation stopped, and Director Shi glanced back at the sterile table.

Only three-claw basket stone motritomy!

He thought for a moment, put his hands in front of his chest, and turned around to find the manufacturer he brought to sell.

I glanced at it, but I didn't see anyone.

The smooth operation was forcibly terminated, and a trace of anger flashed on Director Shi's gentle face.

"Director Lin, call Xiaowei in." Director Shi said.

Lin Yuming understood that the operation encountered difficulties and that special consumables might be needed, and he did not stick to the rule that consumables vendors could not enter the operating room, so he turned around and called someone.

Soon, the manufacturers brought by Director Shi were sold.

"Xiaowei, Skylite takes the stone Nets." Director Shi said.

The salesman was stunned for a moment, he opened the trolley case, and looked for it one by one.

Director Shi didn't hear the salesman answer himself, and he already understood that this product didn't bring skylite to take the stone basket.

This is the most annoying thing when you go to the field to fly knives.

All kinds of equipment and consumables are not easy to use, and now they don't let themselves bring the manufacturer's people, so once there is a problem, it will lead to unsmooth surgery.

Md！

Director Shi scolded in his heart, and his face became even more ugly.

Three-prong nets can be done, but that would make the surgery more difficult and unpredictable.

"Didn't you bring it?" Director Shi asked unhappily.

"......" sales answered Director Shi's question with silence.

The good-natured Director Shi was about to scold, when suddenly a clear voice came.

"Teacher Shi, if Skylite takes the stone net, I may have the consumables I need."