"Hydrogen peroxide?" Lin Yuming asked knowingly, "Director Guohua, I haven't heard of any side effects of hydrogen peroxide. ”

"That's because you don't have clinical touch." Wang Guohua said in a deep voice, "Don't talk about my experience, the literature clearly says that hydrogen peroxide is not allowed abroad." ”

Lin Yuming condensed, if this is the case, the accident with hydrogen peroxide in the mine will definitely be a major medical accident.

There is such a thing!

"Director Guohua, can you tell me carefully?" Lin Yuming asked heartily, and his attitude was completely different from before.

"When I was young, I used hydrogen peroxide or dilute iodophor for irrigation, which would cause intestinal adhesions, intestinal obstruction, and side effects, so I was willing to use hydrogen peroxide for disinfection. But recent studies have found that hydrogen peroxide may cause air embolism. ”

"Over the years, I've only come across one case. Less than 10 minutes after disinfection with hydrogen peroxide, the ventilator started to alarm, and finally the patient did not get off the stage. ”

“！！！”

"Later, I looked up information and summed up my experience. Don't talk about this, Luo Hao had to use hydrogen peroxide during the operation, and I began to pay attention. As a result, the process he used was completely in line with the process and minimized the risk. ”

"Can you do without it?" Lin Yuming asked.

"Not really? A stomach with stool, postoperative bacteremia, severe postoperative intestinal adhesion and intestinal obstruction and a very low probability of air embolism, you can choose one. ”

Wang Guohua directly scolded Lin Yuming's words.

Lin Yuming scratched his head.

He didn't want to choose any of them, if he could.

"There are many similar small details, and you don't understand them."

"Director Guohua, could it be that you are thinking too much? Luo Hao hadn't had surgery for at least nearly two years, and I saw it with my own eyes. ”

"Thinking too much?" Wang Guohua looked disdainful, "That's how little you know." Let's put it this way, I want to teach Luo Hao about the whole operation, but I can't say a word of nonsense. ”

“！！！” Lin Yuming was stunned.

"It gives me a feeling that the person in the position of the surgeon is not Luo Hao, but a professor from Xiehelai. And it's not that kind of cutting-edge young professor, it's an old guy who has had surgery all his life. ”

"Really?" Lin Yuming was surprised and delighted.

"Of course, what did I lie to you about. Even if it's a lie, I can't joke about the surgery. Wang Guohua said.

Lin Yuming straightened his lips.

"This nephew is very good, no wonder the first-year medical college wants him to go to further study and work in the dark."

"Hey." Lin Yuming was even happier than hearing others praise himself.

"I'm home, I'm hospitalized, call me if there's something." After Wang Guohua finished speaking, he began to change his clothes, and he had no idea of continuing to communicate with Lin Yuming.

……

……

Luo Hao stood at the head of the patient's bed and watched for 20 minutes.

The task of treating constipation has been completed, and the diagnostic aid AI fragments have also been obtained, but the system can determine the success of the patient's operation, but Luo Hao is not very sure.

Even if the operation was flawless, Luo Hao still stared at the monitor for a long time.

"Luo Hao, do you have obsessive-compulsive disorder? Have you been to a psychiatric hospital? Chen Yong came to Luo Hao twice, and the second time he couldn't help asking.

"No, it's just a simple look at it and feel at ease."

"It's not obsessive-compulsive or something."

"You can understand that you are serious and responsible to the patient."

"Don't talk nonsense." Chen Yong pulled Luo Hao out, "When it's time for supper, you can order milk tea, this is what the nurse wants." ”

As he spoke, Chen Yong handed Luo Hao a piece of paper with a few milk teas written on it.

"You're not short of money." Luo Hao glanced at Chen Yong, took out his mobile phone and began to order takeout.

"How dare I buy milk tea for the little nurse, it's safer for someone like you to do this kind of thing. You order milk tea, and you call it a warm man. ”

"What about you?" Luo Hao asked.

"I drink ice beauty." Chen Yong ignored Luo Hao's question.

"It's booked." Luo Hao put away his phone, "Drink Bingmei in the middle of the night, you don't want to sleep?" ”

"Why don't you keep asking?" Chen Yong asked.

"Asking once will give you face, and if you ask again, I won't be self-inflicted if you say anything unpleasant." Luo Hao smiled, "Actually, coffee and the hospital are really a match." ”

"In addition to drinking high-calorie milk tea to provide energy, cows and horses drink coffee to refresh themselves, that's what it means."

"There is a cause and there must be an effect, and the caffeine from the ground coffee fruit, the cause and effect cycle. Heal the sick and save people, this is your blessing. ”

"Tsk, it's the first time since Jack Ma heard someone say the word good fortune so freshly and refinedly."

The two of them talked as they returned to the doctor's office.

"Luo Hao, your surgery is so good, why can't you think of going to the medical office." Chen Yong looked casual, but in fact, he asked the biggest question in his heart.

Luo Hao sat on the chair, "Chen Yong, what do you think is the most important thing about being a doctor?" ”

"Of course, it's the benevolence of the doctor and the technical level, just these two points, and the others are crooked." Chen Yong replied without hesitation.

"It's all important, but there's another thing that's important."

"What?"

"Face."

“！！！” Chen Yong looked at Luo Hao responsibly, with incomprehension and disdain in his eyes.

"Man is not God." Luo Hao smiled slightly and explained, "My teacher told me that you can't be arrogant in the hospital, and if you can, you can't offend people. ”

"Why are you so oily at such a young age?"

"You call this greasy?" Luo Hao asked.

"It's hard, isn't it?"

"So let's assume a situation, let's say today's patient, goes to the ICU after surgery. What are you going to do if the ICU is full? Luo Hao asked.

"Uh......"

Chen Yong didn't know how to answer this tricky question for a while.

Today, as luck would have it, there happened to be an empty bed in the ICU, and with the phone from the medical office, the patient was pushed directly to the ICU after surgery.

But what if there is no bed?

If you bring it back to the ward, the level of the nurses in the general surgery department is not enough, and once you want to go on a ventilator, you can't even figure it out to be a nurse.

"Today, whether there is a bed in the ICU or not, I can get patients in. It's great to have an extra bed, and Director Qian of the ICU can still argue with my medical office because of such a thing? ”

“……”

Chen Yong was dumbfounded.

"Don't say that the examples I gave are special, there are even more special ones. If the ICU doesn't have a ventilator, all the machines are in use, and our patients need ventilators, I ask you what to do. ”

Chen Yong's face was expressionless, and his mask seemed to be frozen and covered with frost.

"You can't help it, I'll make a call, and Director Qian can add an extra bed to me in the ICU."

"You don't have a ventilator." Chen Yong reminded unconvinced.

Luo Hao smiled, "Of the 23 ventilators in the hospital, 16 are currently in operation, and 7 ventilators are idle. Ordinary little doctors can't adjust it, even Wen Youren can't do it, but I can. ”

"We have 23 ventilators in our hospital?!" Chen Yong was surprised.

"The medical department has data, and Director Lin has to report the operation of the ventilator every day before leaving work, so that he knows it by heart. If he really has to go out, as long as the patient needs a ventilator, he can coordinate it at the first time. ”

"As for the cost, let the directors tear it up afterwards, and it's great that my medical department will come forward to be the referee."

"Then again, what I just said could bring at least 50-100 seriously ill patients to the next level of care every year. Of course, technical level is also important, and I've never denied it, but I'm not greasy. ”

Chen Yong was a little dazed.

He could understand what Luo Hao said, but he couldn't understand it.

"You are the right of the medical department, not the face." Chen Yong found the flaws in Luo Hao's words.

"Let's take another example. Now there are patients with incurable diseases who come to the hospital for treatment, and you can't understand it, what should I do? ”

"Find my master." Chen Yong replied stubbornly.

"Dr. Jiang's level is good, but he can't understand it?" Luo Hao asked.

“……”

"If it's me, I can sit down with the directors of the relevant departments and study it. If you don't understand it anymore, the consultation a few hours later is the chief physician of the provincial hospital. If I still don't understand, I will contact the teachers, professors, and directors of Xiehe for consultation. ”

"The medical office can't do that."

Chen Yong looked at Luo Hao's sunny smiling face and felt really hateful!

Chen Yong asked, "Concord is not omnipotent, what if they can't understand it?" ”

"Oh, if my teacher can't understand and give an accurate diagnosis, he must be interested in this disease, and the next consultation department is the MDT team composed of the chairmen of various domestic professional committees."

Holy!

Chen Yong knew that Luo Hao was showing off unabashedly!

That's showing off!!

Say the most awesome words in a flat tone.

The MDT team composed of the chairmen of various professional committees, is this especially a configuration for ordinary people?

This is the configuration of the health group.

"It would be a pity if the diagnosis was not confirmed, and there is a 30% probability that the disease can be named after the patient."

Chen Yong sighed helplessly.

Different colleges and universities, different learning processes, Luo Hao has countless things to brag about.

As for themselves......

"By the way, the witch doctor you learned ......"

"It's magic, magic!"

"Yes, yes, magic, can I see a doctor?" Luo Hao asked with interest.

"Yes." Chen Yong was hit by Luo Hao's heavy punch, and said in a trance.

"Oh? Here's an example. ”

"Steve Jobs came to me for a teacher's treatment."

"I'll go! Jobs was delayed by your teacher?! Luo Hao was surprised.

Chen Yong was speechless.

Foreigners believe in magic and witch doctors, which is actually similar to the belief in home remedies in China.

Steve Jobs is a prime example, his pancreatic cancer could have been cured with a high probability, but it was delayed for a long time, so that he died young.

Luo Hao asked Chen Yong with great interest what he learned when he was in school, but Chen Yong began to work with an expressionless face and rejected Luo Hao's inquiry with practical actions.

……

……

Wang Guohua tossed and turned and couldn't sleep.

"You said that you are old, and you went to the hospital for emergency surgery, and you have insomnia." Wang Guohua's lover nagged.

She simply stopped sleeping, got up and went straight to the kitchen.

"Why are you going?" Wang Guohua asked.

"My friend got me a soothing Chinese medicine, saying that it is very easy to use, so you don't drink it if you don't drink it, won't it be so much trouble if you drink it early?"

"No way!" Wang Guohua sat up violently.

"As far as you have a lot to do, let me tell you Lao Wang, this medicine is easy to use."

"You know!" Wang Guohua scolded.

"You know! Who do you think is willing to get up in the middle of the night to get you Chinese medicine to drink? Wang Guohua's lover complained.

"I'll tell you when you come back." Wang Guohua's tone softened a little, and he pulled his lover to sit on the sofa, "In the calming medicine, as long as it is easy to use, most of them have lead cream." ”

"What?"

"A kind of traditional Chinese medicine, there is it in the Compendium of Materia Medica, I heard Lao Liu of Chinese medicine say. The main ingredient of lead cream contains lead, soothing the nerves, fucking gods, that's lead poisoning! ”

Wang Guohua's lover was stunned for a moment.

"In the Qing Dynasty, all kinds of princes were especially willing to eat soothing decoctions, and it was really effective after eating! But according to statistics, the average age of the princes is 28 years old, and they died before 30. ”

"Is it so scary?!" Wang Guohua's lover's face was a little white, "Lao Wang, don't lie to me." ”

"What did I lie to you?" Wang Guohua reprimanded, "Usually I'm too lazy to say it, but I didn't expect you to really catch the medicine back." You don't believe that we have the most awesome doctors in the city, you have to believe those side doors, something wrong! I don't know who is used to it. ”

Although he was scolded a few times, Wang Guohua's lover didn't dare to fight back, his face was full of worry.

"Hurry up and go to sleep, I'm going to have something happen today, just slow down."

"Lao Wang, you said it's okay to eat a little lead."

Wang Guohua's face fell suddenly.

After tossing for ten minutes, Wang Guohua raised all the medicines, and then sat on the sofa with a straight face.

His lover saw that Wang Guohua's face was not good-looking, so he didn't dare to say a word of nonsense, and went to sleep honestly.

Although her own Lao Wang judged that the Chinese medicine she took would not cause lead poisoning after consultation, and said that she would go to the hospital for a laboratory test tomorrow, she was still afraid.

How can there be heavy metals in the decoction that calms the nerves? Wang Guohua's lover also couldn't sleep at night.

Wang Guohua looked at the black hole outside and thought about today's operation.

He and Lin Yuming only talked for three points, and the reason why Wang Guohua tossed and turned was because he realized that Luo Hao's operation still contained some details that he hadn't discovered in a hurry.

To put it simply, Wang Guohua thinks that Luo Hao's surgery is better than his own!

Do better than yourself!

It's not ERCP, it's not laparoscopic surgery, it's a drastic laparotomy!

Thinking of Luo Hao's "merciless" Tiandikou, Wang Guohua's eyelids jumped.

It's straightforward, but it's the best way to solve the problem.

When I was young, I also tried small incisions, but they all failed, and I had to extend the mouth several times during the operation.

After many surgeries, Wang Guohua summed up his experience and cut the incision of heaven and earth, so that both the surgeon and the patient will get benefits.

And Luo Hao came up and directly "recklessly" the mouth of heaven and earth.

Wang Guohua seemed to have an idea in his heart, but he just didn't catch it.

The sky was slightly white, Wang Guohua squinted for a while, changed his clothes and went to work.

……

……

Three days later.

In the past few days, Wang Guohua has admitted several related patients and waited for surgical treatment on the day of surgery.

Director Li of the Department of Gastroenterology gave Wang Guohua the green light, after all, he is an old-timer in the hospital, and at least respect is still needed.

Even if Wang Guohua and Wen Youren have a close relationship, Director Li still can't help but give the old director this face.

When he got off work, Luo Hao sorted out all kinds of information about the patients on tomorrow's surgery day for the last time.

These materials need to be reported to the senior doctor, and Luo Hao is familiar with the road.

"You won't have surgery tomorrow, you're going to have another surgery day. If you are admitted first, there is no reason to be hospitalized today and have surgery tomorrow. ”

Wang Guohua's voice came in.

Luo Hao looked up, and soon saw Wang Guohua walking in, followed by two people.

"Dr. Xiao Luo, this is my new patient." Wang Guohua pointed to the woman behind him and said, "You work hard to bring it in." ”

Although it was said that it was hard work, Wang Guohua's expression did not see any regret or guilt for the hard work.

The tone of a typical senior doctor and Luo Hao explained the task.

This is also normal, how can doctors leave work on time?

Other industries can rectify the workplace, get off work at the end of the day, and never work overtime, but doctors cannot.

As for hard work, it doesn't exist at all in Wang Guohua's eyes, it's just a casual talk.

"Okay, Director Guohua." Luo Hao should come down.

"Director Wang, you can help me take a look at what is going on with me." The patient's family whispered and begged.

？？？

The patient didn't speak, but the patient's family asked to see a doctor, what happened? Luo Hao looked at the man curiously.

"You're just not idle." Wang Guohua pursed his lips and said disdainfully, "Those second-rate people in the countryside, lazy people, like you, are dizzy when they work." ”

Wang Guohua's voice was very loud and full of energy, like a thunderbolt.

"......" The patient's family bowed their heads in disbelief.

Luo Hao really admires it, and there are some things that an old director like Wang Guohua can say. If it is replaced by yourself, you must not be complained by the patient until you are old?

But......

The faces of the patient's family members were full of unconvincing and a little confused, and Luo Hao's first feeling was that he was not pretending.

There is not much useful information now, and there is a patient admitted to the hospital by Wang Guohua, Luo Hao is not in a hurry, and beckons the patient to come over and start asking about the medical history.

After Wang Guohua accepted the patient, he did not rush to change his clothes and go home, but changed into civilian clothes and sat in the doctor's office wearing reading glasses and reading a book.

His ears were pricked up to listen to the conversation between Luo Hao and the patient.

Asking for medical history is a science, which looks simple, but even the old attending is difficult to do everything in detail and leakage.

Wang Guohua looked up at Luo Hao from time to time, Luo Hao had a smile on his face, like a spring breeze, spoke softly, and asked for more than 20 minutes before taking the patient to the disposal room for physical examination.

The reception process took an hour, and Wang Guohua did not find anything wrong.

Luo Hao has done it very meticulously, comprehensively, and perfectly. In terms of basic skills, he doesn't seem to be at Luo Hao's level.

Wang Guohua had an accurate judgment.

Luo Hao arranged a ward for the patient and called the patient's family to come to the doctor's office to sign.

While making communication records, Luo Hao asked, "You get dizzy as soon as you work, when did it start?" ”

"I forgot the specifics." The patient's family whispered while peeking at Wang Guohua.

"What's uncomfortable with working at work? Don't be nervous, just chat. Luo Hao smiled slightly, and also lowered his voice.

The whispering of the two big men was a little strange, but Luo Hao still followed the thoughts of the patient's family to cover his ears and steal the bell, not letting Wang Guohua "know".

"As soon as I work, I start to feel dizzy and have no energy all over my body, especially my arms, and I can't use any strength at all."

The patient's family said, subconsciously moving his left arm.

"Reach out and I'll see."

The patient's family extends their right hand.

"No, it's your uncomfortable left hand. Besides, men on the left and women on the right. ”

？？？

The patient's family has a question mark in their heads, is this young doctor serious?

Luo Hao ignored the mood of the patient's family and put his finger on his radial artery.

Wang Guohua raised his head, his eyes widened, and he was a little unhappy.

Isn't this nonsense, Luo Hao doesn't accept patients well, why do he still talk to the family of the patient who is lazy and doesn't work and "check".

Besides, if he had a serious physical examination, he wouldn't say anything, a Western doctor actually gave the patient's family a pulse!

Wang Guohua was very unhappy.

However, in the next second, Luo Hao didn't care about the left and right of the man and woman just said, and put his hand on the radial artery on the right side of the patient.

"Have you been to the hospital?" Luo Hao asked.

"I went, and the doctor said I wasn't sick." The patient's family is in some distress.

He has been ignored by many doctors, but now that a young doctor treats him, he feels even more ...... It's unreliable, and it's even a little funny.

Because Luo Hao put his hands on his two wrists, it seemed like a child was playing a game.

"Let's go, I'll take you to take your blood pressure."

"Doctor Xiaoluo, hurry up and write a medical record." Wang Guohua was very unhappy, closed the "History of the Ming Dynasty" with a "snap", and said angrily.

"Director Guohua, he may have a little problem." Luo Hao did not listen to Wang Guohua's words, but replied seriously and resolutely.

"Huh?" Wang Guohua raised his eyebrows.

He stood up in doubt, "I'll go and see what's wrong." ”

If it was in the past, Wang Guohua would definitely scoff at Luo Hao's statement, thinking that the little doctor was looking for trouble.

But after experiencing a few things, Wang Guohua's perception of Luo Hao has changed.

This young man is bold and careful, and the operation is comparable to his own.

Wang Guohua even had a certain amount of self-doubt, isn't this man the kind of lazy person in the countryside?

In the blink of an eye, Wang Guohua smiled.

As soon as I work, I feel tired, dizzy, my head hurts, and my stomach hurts, isn't this a typical second-rate person.

This kind of person has seen a lot of it himself!

I want to see what Luo Hao says.

Wang Guohua was interested, and followed Luo Hao and the man behind his back to the nurses' station.

Luo Hao took out a mercury sphygmomanometer and began to measure blood pressure.

The blood pressure in the left upper limb is 70/40 mm Hg, and the blood pressure in the right upper limb is 130/75 mm Hg!

The pulse pressure difference reaches 50 mm Hg.

Although Wang Guohua didn't have a stethoscope and his eyes were a little flowery, he could still see the subtle fluctuations of mercury from a distance, and he also realized that there was a problem at the first time!

Is it a mezzanine?!

As soon as the thought came to him, Wang Guohua was sweating.

Dissection is a serious disease! The difference in pulse pressure between the upper limbs reaches 50 mm Hg, and there is a high possibility of dissection!

"Have you ever been wounded?" Luo Hao asked slowly.

"Doctor Xiaoluo, the patient ......," Wang Guohua said hurriedly.

But he swallowed the rest of the words back after only a few words.

Luo Hao can sense the pulse pressure difference between the man's upper limbs through the pulse, doesn't he know about the dissection?

He is not in a hurry, there must be a reason not to be in a hurry.