"Director Guohua, that's the case." Luo Hao began to explain to Wang Guohua some difficulties in taking stones from the Nets.

After all, Wang Guohua has undergone surgical operations all his life, and he has personally experienced many rare situations, and the questions he asks are extremely tricky and to the point.

But this is not difficult for Luo Hao.

The surgical level of 4 has reached the sub-provincial level, and there are only a handful of people in the province who can be stronger than Luo Hao, whether it is surgery or interventional surgery.

In addition, all kinds of literature are readily available in the system library, and Luo Hao is also willing to learn, whether it is technical techniques or theoretical foundation, Luo Hao has no flaws.

Therefore, the question raised by Wang Guohua is just a "simple question" in Luo Hao's view.

Wang Guohua was immersed in the ERCP operation, and asked for nearly two hours before he was satisfied.

"Director Guohua, don't you really want to have surgery?" Luo Hao asked.

"Why not?"

"Eat the line, you ......"

"I'll tell you something." Wang Guohua Road.

Luo Hao listened attentively.

"You've been in the obstetrics and gynecology department, do you know why they shrink more and more as they get drier?"

"Fertility is declining." Luo Hao's answer was decent.

Wang Guohua snorted coldly, "To be honest. ”

Luo Hao scratched his head, smiled hehe, and remained silent.

Wang Guohua didn't have to force Luo Hao to say what was in his heart, but said disdainfully, "Many years ago, the group bought a DSA machine for our mine, and at that time, I told Director Hu of the Department of Obstetrics and Gynecology that their uterine fibroids can be treated with interventional embolization. ”

"Before that, the uterus had to be cut for uterine fibroids, and interventional embolization surgery could preserve the organs, although the cure rate was not as high as that of total hysterectomy...... ! ”

As he spoke, Wang Guohua scolded.

"The uterus is cut, what other complications can there be."

"Director Guohua, you're right." Luo Hao agreed.

Wang Guohua glanced at Luo Hao and continued, "As a result, Director Hu didn't answer at all. I know what he thinks - interventional surgery is an order of magnitude or two more difficult than simply cutting a uterus. ”

"He didn't have the heart to learn."

"Now every time we meet, I have to say a few words to Lao Hu. The old thing is not enterprising, and sooner or later he will get Alzheimer's. ”

"......" Luo Hao was a little surprised when he heard Wang Guohua scolding.

Wang Guohua's temper is too hot.

With the rise of interventional surgery, in fact, the most widely spread is cardiology.

The reason for the leader here.

The doctor who took the lead in interventional surgery was an academician of the Academy of Engineering, and there was no academician in the Department of Obstetrics and Gynecology to do interventional surgery.

In addition to this, there is also an element of interest.

The directors of the cardiovascular medicine departments of many hospitals have monopolized coronary interventional surgeries, and even their lovers have begun to sell stents.

Eat more than one fish, and be played by these former waves.

Cardiac surgery, which gave up cardiac interventional surgery, was miserable.

It is said that more than 20 years ago, cardiac surgery, like in other countries, was a top-notch department. But in just a few years, it was beaten by the Department of Cardiology, and in addition to the provincial hospitals, the cardiology departments of the prefecture-level hospitals basically disappeared.

"I inquired and knew you would be doing interventional embolization and hemostasis for scar pregnancy. Emergency hemostasis can be done, and uterine fibroids will definitely be done. Do you have a slander in your heart? ”

Wang Guohua looked at Luo Hao and asked.

"I'm just a little doctor, just do my job." Luo Hao said calmly, "I can't change the people who can't be changed by the big waves, and I can't change them." ”

Wang Guohua was silent for 2 seconds and then said, "Now every time Lao Hu sees me, he taunts me for not doing ERCP surgery." Dog things still have the face to say about me! Lao Tzu came to the operation to see where his old face was placed. ”

“……”

Luo Hao was a little surprised.

Old children, old children, are you talking about people like Wang Guohua?

They are all retired, and for some quarrels with old colleagues, they actually came to the hospital to start learning ERCP surgery from scratch.

This reason is unacceptable to Luo Hao.

His preference to undergo ERCP surgery is the long-cherished wish of Director Wang Guohua.

"Director Guohua, the hospital is quite happy that you agreed to rehire." Lin Yuming said gently, "If you have surgery, you can just take a look, and you really wear a lead suit...... In case, I said in case, if I was tired, the doctors and nurses in the hospital were not allowed to point at my back and scold. ”

"People are very squeamish now, and a dozen pounds of lead clothes can exhaust people?" Wang Guohua rebuked disdainfully, "Back then, bile duct stones were a big problem in surgery. Whether it is a bile duct incision or a biliary-intestinal anastomosis, the problem is significant. ”

"I thought to myself, how great it would be if there was a way to reduce the trauma to the patient and achieve 80-90% surgical results."

"Just like the ovarian cyst puncture and solidification surgery done by Dr. Xiao Luo, although the recurrence rate is higher than that of the roof removal surgery in the strict sense, the damage is almost negligible."

"If you recur, you will do it again, which is like surgery, once you encounter an unexpected situation, the surgeon will be numb."

Wang Guohua said, as if he remembered something, and sighed deeply.

Luo Hao knew very well that an experienced practitioner like Wang Guohua must have encountered countless problems in his life.

How did you come from your extensive clinical experience?

To put it mildly, it is all piled up one by one the lives and the wails of the patients.

God knows what Wang Guohua has experienced, and he will be so obsessed with ERCP surgery in his twilight years.

"Director Guohua, I understand." Luo Hao said softly, "When I went to the medical record room that day to look up the surgical records you wrote 20 years ago, I understood what you meant. ”

Wang Guohua didn't speak, his fingers lightly tapped on the table.

20 years have passed, and the old and the young have exchanged medical records and are now sitting together.

Lin Yuming watched from the side, and a trace of strangeness rose in his heart. At this moment, although he still doubted Wang Guohua's motives and did not trust the old director, he forgot all the unhappiness for a short time.

The scene in front of me is a man's romance.

"I'll be out of the clinic in a few days." Wang Guohua said in an unquestionable tone, "Let's ...... after accepting the patient."

"Director Guohua, I have a dispute here, do you want to try it?" Lin Yuming said with a smile.

Wang Guohua raised his eyebrows, "Our dispute over general surgery? What's wrong with Yuren's surgery? ”

The old director of Guohua is rough and heroic, but he is also a good person.

Lin Yuming raised his head, and he guessed the truth.

"Director Guohua, that's the case." Lin Yuming said, "There is a female patient in the subordinate village who complained about residual stones after laparoscopic cholecystectomy, choledocholitomy and T-tube drainage 4 months ago. ”

Wang Guohua looked at Lin Yuming, his eyes were as sharp as a knife.

"Director Guohua, to be honest, you know the level of our hospital. The operation was performed by Director Wen, and from my point of view, it has reached the maximum range of his ability. There are residual stones after surgery, which is a helpless thing.

Originally, I had already solved this matter - admit that our technical level was not enough, and contacted the patient with a higher-level hospital. ”

Wang Guohua snorted.

Seeing that Lin Yuming spoke very fairly, he also said a few words for Wen Youren, without blaming Wen Youren too much.

But the more simple meaning is obvious.

Lin Yuming didn't care about Wang Guohua's attitude, he smiled slightly and continued.

"Director Wen and I both suggested that the patient go to the provincial capital to continue treatment, but the patient's family was very poor and could not go to the provincial capital, so he cried with me every day. No one has come in the past few days, I guess I can't afford to toss, so I pull it home and wait for death. ”

Bile duct stones, pulled home to die, Wang Guohua was even more unhappy when he heard this.

"You contact the patient's family and bring the patient over." Wang Guohua said, "As for the cost, you can do it." ”

"I applied for the fee with the hospital, and went through the dispute process. You can rest assured that there will be no deduction of general surgery bonuses. ”

Lin Yuming saw that Wang Guohua responded, and promised to wipe Wen Youren and his buttocks, and said happily.

casually said that he could bully the family and suppress them with power, Lin Yuming knew that the family couldn't make any big waves.

But!

Everyone has compassion.

Now that the old director of Guohua is back, let's try it, in case it can be saved.

"Xiao Luo, I want to see how well this patient writes medical records and picks up patients."

Luo Hao was stunned for a moment and nodded.

Wang Guohua used affirmative sentences no matter what he said, and he didn't ask himself whether he agreed or not. But after all, it is a matter of curing diseases and saving people, and Luo Hao is not unhappy.

"Ding Dong~"

The system task chimes off.

[Daily Mission: Hard-to-get stones.]

Task content: Successfully solve the complications of residual stones after laparoscopic cholecystectomy, choledochotomy and T-tube drainage.

Mission duration: 1 week.

Reward: 10,000 XP, +1 for Worship of Peers.】

The task looks like nothing, just an ordinary task, but Luo Hao knows the difficulty of the second operation.

He didn't take it lightly, but glanced at the task, didn't even look at the reward, and asked, "Director Lin, what is the patient's name, I'll go find past medical records and imaging materials." ”

After getting the basic information, Luo Hao began to get busy.

After he got the information, he asked Wang Guohua to study it together.

Wang Guohua didn't have his own office, and he refused to go to Wen Youren's director's office, and when Luo Hao came back, he was sitting in the doctor's office reading a book.

"Director Guohua, this is the patient's film."

The two studied for a while, and Luo Hao took out the medical records and found the operation records.

"Don't look at it, wait for the patient to come."

"Okay."

Wang Guohua saw that Luo Hao didn't know what to do, so he said more, "Look at what book I read." ”

Luo Hao had long seen Wang Guohua reading "History of the Ming Dynasty", not "Practical Surgery". It is estimated that Wang Guohua has long been able to memorize "Surgery", and there is no point in reading it again.

"Director Guohua, you are also interested in research and learning." Luo Hao said with a smile.

"Just look at it, writing history books is similar to writing medical records, they are all fools."

“？？？”

Luo Hao suddenly became interested.

History books and medical records can be linked, and Wang Guohua's thinking can be regarded as a novelty.

"Director Guohua, can you give me an example?"

"How much do you know about the history of the Ming Dynasty?"

"One bowl at the beginning, one rope at the end." Luo Hao said the memes on the Internet.

"." Wang Guohua said disdainfully, "Reading and looking at medical records, it's not like that." ”

Luo Hao listened attentively.

"Zhu Yuanzhang is asking for food, in Huangjue Temple, you know."

Luo Hao nodded.

"Then let me ask you one thing, the book says that Lao Zhu set out for a tour in September 1344 because he couldn't stand it because he was hungry, and he was 17 years old at the time; In 1348, he returned to Huangjue Temple, when he was 21 years old; In 1352, at the age of 25, he set out to join Guo Zixing's rebel army at the end of February. Then in leap March, he became Guo Zixing's son-in-law. ”

"yes, that's why it's a bowl at the beginning."

"Guo Zixing is a rich man, and he has thousands of people under him when he rises up. I ask you, how many similar people have you seen? ”

Luo Hao thought to himself that he might be richer than Guo Zixing.

But this thought was only a flash, and I understood what Wang Guohua was going to say.

"The adopted daughter of the rich man's family marries a monk who asks for food, this thing is unreasonable!" Luo Hao said.

Wang Guohua smiled slightly, with a teachable expression on his face.

"Therefore, the ugly things that the old Zhu family can't say are in the past few years. Since Guo Zixing can marry his adopted daughter to Lao Zhu, it will definitely not be because he is an ugly monk who asks for food, right? ”

"It's like in an operation record, there are some things that can't be written, and those things are the truth."

"So, there's no point in looking at that." Wang Guohua said lightly, his mood was not low, and he did not scold.

He knew Wen Youren and knew what he could do as an apprentice.

"Then what should I do, Director Guohua?"

"Wait for the patient to come." Wang Guohua decided at a glance.

……

After getting off work, Wen Youren struggled for a long time, and finally came to Wang Guohua's house.

"Master." Wen Youren carried two bottles of Feitian and shouted aggrievedly when he entered the house.

"Youren is here, come in and sit." Wang Guohua's lover took slippers to Wen Youren.

"Youren, I read your electrocardiogram." Wang Guohua was sitting on the sofa wearing reading glasses and was reading a book, and when he heard Wen Youren's visit, he didn't raise his head and said directly.

"Master, I was angry, and I had a heart attack. This time the symptoms were so severe that they almost killed me. After Wen Youren and Shi Niang said a few words, they couldn't wait to enter the house and complained directly.

Wang Guohua didn't speak, still reading.

"Master, the whole hospital consulted, Director Lin relied on him to manage the medical department, and insulted me in every way, and I was sick."

Wen Youren saw that Wang Guohua had not spoken, and his voice gradually weakened.

He knows better than anyone else what kind of temper the master has and what style of doing things.

"Teacher......"

"Youren, it's not good to eat too much levofloxacin." Wang Guohua said lightly.

“！！！”

Countless blasts exploded above Wen Youren's head.

He looked at Wang Guohua blankly, his heart was blank.

"The electrocardiogram you did after you fainted is nothing serious, it's all the same old problem, and the ST segment has changed. But then the ECG was abnormal, and I knew at a glance that it was a change in the ECG caused by a large amount of oral levofloxacin.

I remember this was when we had surgery together in 12 years. ”

"......" Wen Youren's eyes were flickering with countless Venus stars.

"Levofloxacin has a particular side effect - prolongation of the QT interval on the ECG. Plus you have an old heart attack that looks particularly like an abnormal ECG. But you have to know that if you eat a particularly large amount, levofloxacin will further induce malignant arrhythmias such as torsades de pointes, and even lead to sudden cardiac death! ”

“！！！”

Wen Youren felt like he was being pinched.

Although Master has been retired for several years, has never been in the hospital, and has not had any surgery, as soon as he pouts his buttocks, Master knows that he has to pull a few sheep dung eggs.

It's like walking around in the middle of a crowd with no clothes on.

"You're too bold, eat...... Alas, hurt others and hurt yourself. Wang Guohua didn't raise his head, kept looking at the book, and said lightly, "As a doctor, no matter what happens, you can't implicate patients." In this matter, if you copy the guy and dig up the ancestral grave of Lin Yuming's family, I can say that you have a kind. ”

"But look at you, have I been teaching me for so many years?"

Wen Youren's mouth is dry.

I didn't expect that Master was not in the hospital, but he was insightful.

"On the one hand, I am afraid that it will not be good for my body to give you medicine from the Department of Circulars, and on the other hand, I have to take a large amount of levofloxacin orally to change the electrocardiogram. You see, if you are given what you can, why don't you go to heaven? ”

Wang Guohua ridiculed.

"Master, I'm ......"

"Check your kidney function early tomorrow morning, don't really have an accident." Wang Guohua put his finger to his mouth and licked it, turning the pages.

"Master, but you can't ...... either"

Wang Guohua put down the book, took off his reading glasses, and looked at Wen Youren seriously.

Wen Youren didn't know where to put his hands and feet, like a child who had done something wrong.

"It's not enough, it's a matter of talent. Forget it, don't talk about this, do you think I'm getting old, and I'm still thinking about being disgusted in the hospital? Wang Guohua asked.

He was full of energy, and his words resonated in a physical sense, making Wen Youren feel uncomfortable.

"You've been wrong from start to finish." Wang Guohua didn't give Wen Youren any face, "Especially when he fainted in the end, he was so stupid that he hung up!" I don't know what's going on in your head. ”

"Master, I'm ...... I didn't think about surgery. You also saw the operating room where I took the drip with me. Wen Youren whispered.

"Who doesn't know your thoughts. Take care of your illness, your heart is already in turmoil. During this time, I took it for you, and for more than half a month, you came back after you rested and calmed down. Don't worry, with me, Lin Yuming can't afford to toss any wind and waves. ”

Wen Youren was stunned.

"Why do you think I'm going to be rehired? Really going to do ERCP? It's not to help you hold out for a while! Wang Guohua reprimanded angrily.

"Thank you, Master." Wen Youren was so moved that he almost didn't cry.

"Ugh." Wang Guohua waved his hand, wanting to speak again.

……

……

"Master! At yesterday's emergency surgery, you didn't see Director Wen's face, which was more ugly than eating. Chen Yong said excitedly.

He sat in the corner of the sofa, and only Chen Yong was sitting in Jiang Wenming's house, which looked cleaner.

"It's hard to say." Jiang Wenming lit a cigarette and smoked leisurely.

"But today Director Wang Guohuawang came and said that he wanted to learn to be an ercp. Master, you ......"

"What are you talking about, my new book is going to be adapted, let's make a game first, and find some third- and fifth-tier female stars to play in real life." Jiang Wenming smoked a cigarette and said with a smile.

Chen Yong reached out for a cigarette, and Jiang Wenming slapped him on the back of his hand.

"Children, if you don't learn well, smoking is harmful to your health."

"But you ......"

"I'm afraid of what I'm afraid of with my old bones."

Chen Yong looked at Jiang Wenming helplessly, at the age of thirty, he didn't look older than himself.

"By the way, Master, what game is being adapted?"

Chen Yong looked at Jiang Wenming's computer screen.

Surrounded by beautiful women...... This vulgar name makes you want to vomit at a glance.

"You don't understand." Jiang Wenming cocked Erlang's legs, "What I wrote is a science fiction masterpiece that is even greater than the three-body problem." ”

“！！！”

"The copyright fee can come in next month, and I will invite you and Luo Hao to dinner at that time." Jiang Wenming said, "Having said that, with my understanding of the old director of Guohua. ”

As he spoke, he began to groan.

Chen Yong was not in a hurry, and silently looked at the master who was "not doing his job".

Master has been in exile all his life, only had a short marriage, and he didn't even have children, so he wrote a book surrounded by beautiful women.

Does he know what it's like to be surrounded by beautiful women?

It's not that he looks down on him, if he can be surrounded by beautiful women, he won't be in chaos at home.

It is said that Chen Yong was very impressed by one of the characters in it, and the girl loved the player very much, so she began to clean up the house when she entered the house.

It seems that this is the refraction of Master's heart.

Thinking about it, the corners of Chen Yong's mouth raised.

"Are you thinking that I don't understand what it means to be surrounded by beautiful women?" Jiang Wenming suddenly asked.

"Huh? Well! Chen Yong didn't hide it and nodded.

"There are not many people who are willing to read books, but there are many beautiful women around you, but others don't think it's practical when you write it."

"How could it be! I've experienced it myself! Chen Yong argued.

"What's the use of that, in the past, a few big guys who wrote small H essays said that they hadn't even touched a girl's hand." Jiang Wenming smiled, "Imagination, imagination, that's the point." ”

"Have you played AKB1/48 Love Election?"

Chen Yong shook his head.

"The favorability of other games is cultivated little by little, but the favorability of this old game is all full, and all the characters are played by the AKB48 idol himself in reality, and the player must leave only one person and get rid of everyone else."

“！！！”

"So, you don't understand the world of otaku, and it's useless to talk about it. The main thing is a feeling of being loved, which is different from you, there are too many people who love you, or are hungry for your body. Hahaha~" Jiang Wenming said, laughing.

"......" Chen Yong was speechless.

"Then again, did you follow Luo Hao to the Internet café to open the black?"

Chen Yong told him about the process of his contact with Luo Hao.

"You, even if you have too much contact with women, you won't talk to men." Jiang Wenming sighed, "You don't have to worry about the old director of Guohua, I know him." But I have a suggestion for you! ”

Chen Yong pricked up his ears.

"Don't think that you have been greatly wronged by giving people the rank of doctor, it depends on whether people want it or not."

"Hahaha." Chen Yong laughed, "Master, look at what you said. ”

"What if you have a competitor?"

"Who is willing to do a thread-eating operation with Luo Hao." Chen Yong told the truth.

"What if Wang Guohua?"

Chen Yong was stunned for a moment.

Jiang Wenming waved his hand, "It's not important, the old director of Guohua promised to be rehired this time, mainly to wipe Wen Youren's buttocks." This director, let him get worse and worse, especially after the medical department was stationed in the Department of General Surgery recently, Director Lin and Luo Hao have already tossed up a storm. ”

"Let's go back, I still have some things to communicate with the game." Jiang Wenming began to pick people up.

"Master, I can be your counselor."

"You? No way. You're experienced, and you've long since lost the illusions of a gaming audience. If you make a game the way you want it, it won't sell. ”

……

……

A day later, 120 ambulances picked up the patient and brought him to the general hospital of the mine.

The patient is a middle-aged woman with a scorched face and a weak body.

Visually it was observed that the patient's tolerance to the blow of the second operation was not high, and it is estimated that this is why Wen Youren did not take the patient in and preferred to accept the complaint.

When he was brought in, he couldn't handle it, and he couldn't do the operation, so he could only watch the patient get weaker and weaker day by day.

From a certain point of view, Wen Youren's suggestion that patients go to the provincial capital is also the right way.

But a penny is hard to beat a hero.

Although the provincial capital is not far away, and the high-speed rail and bullet train are also convenient, the cost is really worse for families who are not wealthy.

Luo Hao took the flat car to pick up the patient.

The back door of the 120 ambulance opened, and a dark-faced man jumped out first, clutching a cloth bag tightly in his hand, like a baby.

"You're a family member of a patient." Luo Hao asked.

The man nodded stiffly.

"I'm your lover's bedside doctor, and I'll put people on the cart first. If you have anything to do after you are hospitalized, you can consult me. ”

Luo Hao gave the man a warm, sunny smile.

In order to avoid repeated tossing, the patient was sent to the ward after the relevant examinations and carried to the hospital bed that had been prepared long ago.

After asking about the medical history, Luo Hao comforted the patient and the patient's family a few words, and asked them to find themselves directly if they had something to do, without being restrained, and then turned around and left.

"Doctor......" The man followed with a cloth bag.

"My name is Luo Hao." Luo Hao smiled and said, "It's your lover's bedside doctor, you must remember." ”

"Oh oh oh, Dr. Luo, this is ...... This is the old hen that the family kills early in the morning, you take it. ”