22 Lao Yin Bi

"Hey, it's too much." After watching the girl leave stupidly, Luo Hao complained in a low voice, "What you just said made me goosebumps, and then pull me as a shield, say such disgusting things, don't blame me for being unkind." ”

"I said you can't take off your mask, but you don't believe it." Chen Yong didn't care, he shook off and began to, looking not surprised.

Luo Hao really didn't expect Chen Yong's mask to have this meaning.

"It's hard to understand my distress if you don't look good enough, you mortals." Chen Yong said lightly.

“……”

"When Cameron filmed the Titanic, the first male protagonist was not Lao Li, do you know?" Chen Yong suddenly asked a sentence that was far away in the sky.

Luo Hao shook his head and looked at Chen Yong carefully, he didn't look like Xiao Lizi at all.

During the interview, all the female colleagues ran out to watch Lao Li. It is said that when he was young, Lao Li's appearance could still be compared with me. ”

"Uh......" Luo Hao was speechless.

"Lao Li was still a little plum at that time, and when he came, all the women on the set began to become nymphomaniac. Cameron did not insist on his own point of view, choosing to believe in the aesthetics of the majority of women. ”

"And then?" Luo Hao asked.

"I'm telling you with an example that some things are born and they are there, and if they don't have them, they don't have them. There are some things you don't understand. ”

Luo Hao lowered his head to eat the skewers, and the children around him sat obediently, and the slap marks on his face were very conspicuous.

I really wanted to slap Chen Yong, Luo Hao's hand was a little itchy.

It can be seen that Chen Yong wants to find a topic, but his topic is jerky and uninteresting.

After eating, Luo Hao scanned the code to pay, and after leaving the barbecue, he asked, "What's wrong with you today?" ”

The words were a bit vague, but Chen Yong understood.

The mask moved, and finally a thousand words turned into a sigh, "I'm not used to talking to men." ”

“!!!”

Luo Hao really wanted to kick Chen Yong before the [Energy Conversion] disappeared, this thing looked really bad.

[As the saying goes, a man is a teenager until he dies, but why should a teenager worry about this ......]

The phone rings.

Luo Hao picked it up and looked at it, it was Lin Yuming calling.

Get on the phone as soon as possible.

"Luo Hao."

A serious voice came from the other side of the phone, and Luo Hao was awe-inspiring.

There must be something going on in the hospital, otherwise this uncle called, and the first sentence should be called Xiaoluo.

[In patients with intestinal obstruction, intussusception is considered.] 】

"How old?" Luo Hao asked.

“42.”

“!!!”

Intussusception is more common in small children, like bears that are met at mealtimes.

Intussusception in adults is usually accompanied by malignancy.

"Contrast-enhanced CT is being done, you can take a look."

Lin Yuming's words were very tough, not to discuss with Luo Hao, but to inform.

"Okay, I'll be there."

Hanging up the phone, Luo Hao didn't ask why, but hurried to the CT room.

As soon as I arrived in the CT room, there was a chaotic sound inside.

Could it be that the patient died suddenly?!

Luo Hao's heart tightened, and at the same time, there was a task prompt sound of "Ding Dong ~" in his ears.

[Emergency Mission: Benign or Malignant

Task: Accurately diagnose the etiology, benign and malignant nature of intussusception, and successfully treat it surgically.

Mission duration: 8 hours.

Reward: 10,000 experience points, 2 × to assist in diagnosing AI fragments. 】

The task appeared, but Luo Hao was not happy.

I am not the director of the department, and the operation is not my own chief surgeon.

Even if he takes the initiative to ask for help, whether it is Lin Yuming or the director of the relevant department, he will refuse.

Sometimes the atmosphere of "seniority" in the medical system is so strong that it has almost become an ideological steel seal. Of course, there is reason and logic in this, but for Luo Hao, this kind of rule is bad news.

The system issues another task that cannot be completed.

Despite this, Luo Hao hurriedly walked into the CT room.

But something unexpected happened, Luo Hao saw a scene that he had never dreamed of.

It was not the patient who was lying on the ground, but the ...... Director Wen Youren Wen.

Wen Youren covered his chest with his hands, and his face turned the color of pig liver.

Lin Yuming was on the phone and asked someone from the emergency department to come immediately.

What's going on?

"Cut, loaded." Chen Yong whispered disdain behind Luo Hao.

Loaded?

Luo Hao glanced at the CT screen, and the patient's enhanced CT had come out.

Without auxiliary diagnosis, AI Luo Hao can also give a clear diagnosis - intussusception + space-occupying lesions.

The imaging shows that there is an elongated structure with a length of 6 cm in the intestinal lumen, which is uniform fat density and has clear edges, suggesting intestinal lipoma.

"Director Lin, I'm here."

Seeing that Lin Yuming finished calling, Luo Hao immediately said.

He said as he looked at Wen Youren lying on the ground.

Wen Youren's face was the color of pig liver, and his lips were slightly cyanotic, but it didn't look like a heart attack.

After all, holding your breath may change your face and lips color, but it is difficult to disguise it when you sweat profusely.

On this point, Luo Hao agreed with Chen Yong's opinion that Wen Youren was deliberately pretending to be sick.

But why did Wen Youren do this?

fell to the ground in public, and the electrocardiogram showed that there was no problem for a while, how could Wen Youren explain?

"You watch the film first, don't worry about Director Wen's emergency first aid." Lin Yuming said in a deep voice.

Soon, 120 emergency doctors ran over and sent Wen Youren directly to the Department of Cardiology on a stretcher.

After another half an hour, Lin Yuming came back with a calm face.

"Luo Hao, what do you think?" Lin Yuming asked.

"Intestinal mass lesions, considered benign." Luo Hao replied.

"Benign? Are you sure? ”

"Not sure, you know, only pathology is the gold standard. Until the pathology results are available, any definite claims are deceitful. ”

“……”

Lin Yuming hated this typical way of speaking for doctors explaining their illness.

Even when it's his turn, he says so.

"Luo Hao, I want an affirmative answer."

"I think it's benign, but it needs a gold standard of pathology." Luo Hao said, "Director Lin, Director Wen is ......"

He suspected that it was a malignant tumor, and he couldn't do it without his level, and he didn't have enough time to transfer to a higher-level hospital, so he would definitely have intestinal necrosis. So, just play dead. ”

Lin Yuming said fiercely.

Pretending to be dead, this word is really vivid.

Lin Yuming only said the "best" conjecture, and there was an even worse conjecture Lin Yuming was afraid of teaching bad children, so he didn't say it.

Luo Hao didn't discuss Wen Youren's matter, he didn't care about the dirty methods of those old Yin Comparers, but began to contact the teachers in the imperial capital to give a correct and definite diagnosis.

Lin Yuming looked at the busy Luo Hao, and his heart was stable.

Luo Hao is the bridge between the total mine and the superior hospital and high-end medical care.

Since Luo Hao came back, some things can be left to him, and he doesn't need to worry about it at all.

High-end medical care is important to everyone.

Without Luo Hao, the vice president would be unattainable for himself.

Soon, Luo Hao finished communicating with the teachers of the relevant majors in the imperial capital, and agreed with Luo Hao's diagnosis - considering that the intestinal space-occupying lesion is a lipoma.

After having a confirmed diagnosis, Lin Yuming's face did not look any better.

"Director Lin, the diagnosis has been clear, and emergency surgery is needed immediately." Luo Hao suggested.

"Hey!" Lin Yuming snorted coldly, with frost on his face.

Luo Hao was a little confused.

"No one in the Department of General Surgery can perform intestinal resection except Director Wen." Chen Yong pulled the corner of Luo Hao's clothes and whispered a "secret".

“!!!” Luo Hao was surprised.

"Director Wen took all the slightly more advanced surgeries in his own hands, and no one else could touch them, because of this matter, at least 3 doctors were forced away."

"Director Lin, do we care about this kind of thing?" Luo Hao asked.

"There are problems within the department, and there are no rules, and there are no complaints from the patient's family, and the director feels that the doctors under him can't do high-level surgery, how can I care."

When is bowel resection and anastomosis considered high-level surgery? Luo Hao said he didn't understand.

"That's it, I'll contact you right away and find a doctor who can come to the operation." Lin Yuming said absentmindedly.

During the consultation of the whole hospital, the medical department pointed to his nose and sprayed Wen Youren's scolding dog blood, which was cool, but it did make Wen Youren hold a grudge.

Lin Yuming didn't expect that this product would threaten himself with surgery, treatment, and the safety of patients. He pondered a countermeasure in his heart, and by the way, he dug up the ancestral grave of Wen Youren's family thirty-six times.

But Lin Yuming was not in a hurry, he was never afraid to speculate on others with the worst thoughts. Regarding Wen Youren's approach, Lin Yuming has already responded in his heart.

The patient has intussusception, has problems with the intestinal blood supply, and intestinal necrosis occurs a little later in surgery.

At that time, it is normal to cut not only 10cm of intestines, but also 1 meter of intestines.

Mb!

Lin Yuming scolded in his heart.

Wen Youren is really not a thing!

Luo Hao frowned slightly, and followed Lin Yuming out quickly.

"Uncle, if I can't find someone, I can do it."

"Huh?!" Lin Yuming looked back at Luo Hao in surprise, "Xiaoluo, human life is at stake, don't make trouble." ”

Luo Hao took out a wad of paper from his pocket, flipped through it casually, and found one and handed it to Lin Yuming.

It is a copy of the intermediate certificate with the scope of practice on it.

"It's useless to have a scope of practice, you have to have that level of skill."

As soon as the words fell, Lin Yuming fell into deep thought.

If the puncture and solidification of ovarian cysts and liver cysts is simple, it is not an operation at all, and Luo Hao can do nothing, then ERCP is not simple.

It can even be said that there are absolutely no more than 50 doctors in the province who can complete ERCP.

Although Luo Hao did not complete it by himself, Director Shi spoke highly of Luo Hao......

Maybe?

No, no, no, this matter is too serious, even if Luo Hao is not practicing medicine illegally, Lin Yuming doesn't want to take risks.

"Uncle, it's okay." Luo Hao is ghostly, especially when something goes wrong, his whole person is running at high speed like a CPU, glowing all over, and he instantly found a way to persuade Lin Yuming.

"How."

"I took Chen Yong to open my abdomen first, and then reset the intestines after opening. If you can do it, you can do it, and if you can't do it, cover it with warm salt water gauze, so that you don't have to rush for ten or twenty minutes when you find a surgeon to save the table. ”

“???”

“!!!”

This is indeed the perfect solution.

"I have the qualifications for surgery, and there is no legal problem. I'll go and solve the urgent needs first, and nothing else matters. ”

Lin Yuming made a quick decision, clenched his right hand into a fist, and smashed it on the palm of his left hand.

"Good!"

"Uncle, who are you going to look for?"

"Old Director Guohua." Lin Yuming strode out and said in a deep voice, "He is Director Wen's master, and he has taken Director Wen to perform surgery for twenty years. But the old man is old and may not arrive so soon. ”

Luo Hao nodded.

"One more thing, let's offend Wen Youren ruthlessly, if the old director Guohua doesn't understand, if he is grumpy on the operating table, you can hold back any grievances you have."

Luo Hao continued to nod.

It's one thing to be wronged or not, Luo Hao doesn't care, it's only serious to do the surgery first.

With a slight delay, the patient will have to cut an additional meter of intestines.

In comparison, the sincerity of one's grievances is not important.

The diagnosis is clear, the preoperative preparations have been completed, and the medical treatment is being carried out in an orderly manner.

……

In the single room of the Department of Cardiology, Wen Youren was lying on the hospital bed with Erlang's legs crossed.

"Old Wen, what kind of demon are you doing today." Wen Youren's lover didn't understand, and asked impatiently, "Lying directly on the ground in front of so many people, you are not ashamed, I am ashamed." ”

"You know what." Wen Youren said disdainfully, "Today's patient has to have surgery, cut the intestine and then anastomosis, let me tell you, this is not a minor operation." To put it bluntly, no one in our Donglian City can do it except me. Even if I did, the success rate was not high. ”

"How do I remember that when the old director Guohua was here, it was a small operation." Wen Youren's lover asked suspiciously, "When we eat together, we can always hear you say that when you meet a car accident patient, your intestines are all broken, and you have a lot of feces in your stomach, and you are just a dung digger or something." ”

"Hey." Wen Youren's smug expression climbed up, "The people who can do it are gone, and in the past few years, I have pressed the doctors below to prevent them from doing it." Jiang Wenming, how many times did I want to have this operation, I sent him to the clinic. What the hell, a monkey still wants to jump out of my Five Finger Mountain? ”

"Xiao Jiang is not bad, why don't you let him do it."

"Church apprentice, starve Master." Wen Youren said, "Just like this time, Lin Yuming, the old dog, actually struck me in front of everyone in the hospital, I want to see who he is looking for to operate on when he encounters an emergency." ”

Wen Youren's lover couldn't bear it.

"Don't worry, I won't really skip surgery." Wen Youren said, "As soon as I come to the stage, I will hang a drip." This time Lin Yuming must be a grandson, hahaha! ”

Speaking of pride, Wen Youren laughed.

"He's not going to do it."

"You don't understand." Wen Youren waved his hand, "Those who do clinical work have been brainwashed by treating diseases and saving people, and they are stupid one by one." ”

Wen Youren's lover was stunned.

"I'll rest for a while, and when the time comes, I'll go to the operating room with a drip, Lin Yuming has to kneel down and beg me!"

……

Fifteen minutes later.

The patient had been positioned, the anesthesiologist had finished anesthesia, and looked at Luo Hao and Chen Yong who were on the operation, their eyes were full of worry.

"Chen Yong, where is your master?" The anesthesiologist asked.

"At home." Chen Yong said coyly, without any energy.

"Lao Wen is sick, only your master can cut his intestines, call him here!" The anesthesiologist advised.

"Brother Guan, do you remember that there was a car accident the winter before last? You are also anesthetized. At that time, I had just come back from the UK to enter the clinic, and I was resuscitated for the first time. ”

Luo Hao pricked up his ears.

Chen Yong is still an international student in the UK? Which pheasant university is it?

"I remember, that day, Lao Wen drank too much and couldn't get on the operating table, so your master cut the intestine and then did the anastomosis. Honestly......"

At this point, the anesthesiologist glanced at the airtight door of the operating room.

There was no figure outside, it was quiet.

"Your master's level is stronger than Director Wen's, and the operation is not done quickly, but at a glance, it is actually very sharp. It's like Lao Wen, the old director of Guohua has taught so many surgeries by hand, but some common surgeries are not done well. ”

"Just because my master did it, the day before the patient recovered and was discharged from the hospital, Director Wen found a reason to suspend him from his job to be a teaching secretary."

"Huh? He went to be a secretary because of this? ”

"Well, I guess so." Chen Yong gritted his teeth and said, "If my master dares to come to the stage now, he won't even be able to go out of the clinic tomorrow." ”

"Tut-tut......" The anesthesiologist was speechless.

He turned his head to look at Luo Hao and said helplessly, "Then you can't take Xiao Luo to surgery." ”

Chen Yong was stunned for a moment, the skin between the mask and the hat was a little red, he held it for a few seconds, and said, "I am an assistant and I am Luo Hao's junior doctor." ”

“!!!”

“!!!”

The anesthesiologist, the itinerant nurse, and the instrument nurse were all stunned, and the two nurses who were counting forgot how many they had counted, and looked at Chen Yong in disbelief.

"Xiao Luo, have you had a similar operation?" The anesthesiologist asked in surprise.

"I did, and I did dozens of cases when I was in school." Luo Hao replied while getting dressed.

School.

The anesthesiologist sighed inwardly.

Does that count?

Now the mine is no longer as energetic as it was more than ten years ago, thinking that the mine was always the first hospital in the eastern part of the province, and the province was only slightly worse than the three affiliated hospitals of the Medical University, and almost all other hospitals were far ahead.

But now, all stinky fish and rotten shrimp are ......

Alas.

The anesthesiologist made no secret of his disappointment and sighed deeply.

Luo Hao stood on the operating table, the shadowless light was a little white, white and dazzling.

It's like a stage, with no applause, just endless responsibility.

Luo Hao didn't have any literary thoughts, and after finding the opening position, he stretched out his hand and said in a low voice, "Disinfection." ”

Iodophor gauze patted over.

The strength is a bit big, and Luo Hao knows very well that the instrument nurse is very dissatisfied with his main surgery.

However, Luo Hao didn't care, but raised his head and narrowed his eyes, and gave the instrument nurse a smile.

After the iodophor gauze operation area was disinfected, Chen Yong wiped it with dry gauze, and Luo Hao stretched out his hand, "Knife." ”

A scalpel slapped in Luo Hao's palm.

In the pen position, the skin is incised, and the dry gauze is pressed on the surgical incision for the first time.

Blunt dissociation begins after electrocautery to stop bleeding.

The anesthesiologist wrote down the time on the anesthesia record sheet and looked up at the values on the ECG monitor and ventilator, and lowered his head to continue writing the anesthesia sheet.

But he let out a "huh", put down the pen and stood up, looking at the operating area from the patient's head.

When you write a record, peritoneal protection has already begun?!

Anesthesiologists know that it is not uncommon for surgeons to enter the abdomen so quickly, but it should never appear in a "first-time" surgeon.

He stood behind Luo Hao with his back hand, staring at the operation area.

Luo Hao has done a good job of peritoneal protection, gently cut the peritoneum, and lengthened it with blunt scissors.

Completely opened the abdominal cavity, Luo Hao picked up the big bend hook, dipped it in warm salt water to pull open the abdominal wall, and handed the hook to Chen Yong.

"The back hand is a little higher." Luo Hao advised.

Chen Yong rarely didn't speak, obviously a little nervous, but he cooperated well, and the technique was exposed quite well.

The incision was well chosen, the surgical field was well exposed, and the place of intestinal volvulus was presented in the field of vision.

"Intussusception is rare in adults, can't you have an air enema?" The anesthesiologist only glanced at it a few times, and his attitude towards Luo Hao changed.

The operating department and the clinical department should speak with technology.

As long as people don't fuck up, the higher the technique, the more admirable.

What's more, Luo Hao also has the bonus of +1 admiration given by the system, so the anesthesiologist's attitude has changed from cold to gentle.

"Looking at the film, the patient has a space-occupying lesion in the intestine, but it is not considered malignant, and the preliminary diagnosis is a benign lipoma."

Luo Hao said.

The anesthesiologist covered his head with his hands and wailed, "Is there someone from the pathology department?!" ”

"Director Lin is looking for the director of the pathology department to do intraoperative freezing, and the machine has been turned on." Luo Hao said.

"Director Lin is sleeping at home." The itinerant nurse asked angrily.

In the middle of the night, I found a "raw hand" to perform the surgery, and everyone in the operating room had opinions about Luo Hao. If it weren't for the bonus of peer admiration, I'm afraid that the itinerant nurse would have fallen and beaten up a long time ago.

"No, Director Lin went to the old director Guohua's house to ask the old director to come out." Luo Hao replied while rubbing his intestines and untying the intestines that were susceptible to susception.

I see!

The atmosphere in the operating room suddenly became cheerful.

Luo Hao is only responsible for the preliminary preparations, and the later surgeries are done by the old director Guohua.

That's good!

That's good!!

"Harm, didn't you say earlier that the old director of Guohua was coming." The itinerant nurse moved a high bench for the instrument nurse, so that she could sit down and rest at any time, and she also sat on the stool in the corner, "Xiao Luo, I thought you were the main surgeon." ”

"I'm just in a hurry." Luo Hao smiled, "Find the location first and solve the intussusception, so as not to have too much intestinal necrosis." After the old director Guohua came, he could directly cut the intestine and do intraoperative freezing. If it's okay, the intestine will be anastomosed, and it will be over in half an hour. ”

The atmosphere in the operating room was even more cheerful.

The previous repression was swept away.

"Where's Director Wen?" The instrument nurse asked curiously.

"Director Wen had a sudden heart attack and was hospitalized in the Department of Cardiology."

"I usually see that Lao Wen is in good health, why is it so brittle, and he fell down in a hurry to go to surgery." The itinerant nurse smiled and said, "Bai Chang is so big." ”

The itinerant nurse knew a little rumor in the hospital, and when she contacted this sudden "heart attack", she hurriedly gave the instrument nurse a look.

Luo Hao ignored everyone's opinions on Director Wen, and touched the intestinal tube for 30 seconds after loosening it, "It should be no problem, warm saline gauze." ”

"It's coming!" The instrument nurse agreed briskly.

Covering the intestinal tube with warm saline gauze to determine if there is intestinal necrosis is mandatory, this is a must.

During this time, I just waited for the old director Guohua to come to "save Taiwan".

"Chen Yong, are you studying in the UK?" Luo Hao gently put his hands on the gauze pad protected by the peritoneum and looked at Chen Yong.

"Hmm." Chen Yong nodded.

"Which school?"

"......" Chen Yong was silent.

Luo Hao is a little strange, even if Chen Yong graduated from a certain pheasant university, he shouldn't be embarrassed to say it.

"Hahaha, Xiao Chen is awesome." The anesthesiologist knew the details and laughed, "You can't even guess what he's learning." ”

"Isn't it a medical master?" Luo Hao asked.

"Harry Potter has seen it."

“???” Luo Hao is full of question marks, Chen Yong studied abroad, is it possible to go to Hogwarts?

Isn't that?

"The University of Exeter in the UK."