"Don't worry, I'll give you a check." Luo Hao gently comforted the man.

The man didn't expect that he would be really sick, and he would get dizzy as soon as he worked, not only others, but even the man himself felt that it was a lazy attack.

"Doctor, I can't die."

The man seemed to be joking, but his smile was stiff, and he was clearly a little scared.

"It's not a big problem if you find it." Luo Hao smiled slightly, "Come with me, I'll take you for an examination." ”

"What checks?"

The man and Wang Guohua asked in unison.

"Vascular ultrasound, temporarily considered to be a vascular problem in the subclavian artery."

Subclavian artery? Vascular occlusion?

Wang Guohua was silent.

Although he has extensive clinical experience and high surgical skills, he is limited to general surgery, and most of his clinical areas are only understood.

The subclavian artery that Luo Hao said, Wang Guohua is not very good.

He didn't dare to comment, fearing that he would be timid.

The old director still has to have face, if he really wants Luo Hao to come back, what can he do.

"Doctor, what the hell is wrong with me?" The man asked worriedly.

He never expected that when he asked casually, there was really something wrong.

"Have you seen a Chinese medicine doctor at home?" Luo Hao suddenly asked.

"Yes, our old Chinese medicine doctor said that I have no pulse."

"Hmm." Luo Hao nodded, "I met a patient, 78 years old, when I sent it, I felt a pulse, but I didn't feel it, thinking that the person was dead." ”

"Uh......"

"But the patient was obviously still breathing, so I hurried to my teacher to see him. Later, my teacher touched the patient's carotid artery, which is the position of the neck. ”

Luo Hao said as he pointed to the location of his carotid artery.

"If you have blood pressure, it's not that you don't have a pulse, it's just that you can't feel the pulse in your wrist."

"What's going on?" The man asked.

Wang Guohua also pricked up his ears and listened carefully.

"In general, this may be aortic dissection or subclavian steal syndrome."

"What?" The man froze.

Not only men, but even Wang Guohua was stunned.

Subclavian steal syndrome? What is that?

Wang Guohua's footsteps slowed down, and finally stopped around the corner, and he didn't follow Luo Hao to do a B-ultrasound for the man.

He hid in the corner and quickly took out his mobile phone, and while he hadn't forgotten the diagnosis given by Luo Hao, he entered the diagnosis in Baidu search.

There really is!

Wang Guohua began to study carefully.

Subclavian artery steal syndrome refers to partial or complete occlusive damage in the proximal segment of the subclavian artery or the beginning of the brachiocephalic trunk, which causes retrograde blood flow in the affected vertebral artery to the distal end of the subclavian artery on the affected side due to siphoning, resulting in an ischemic attack of the vertebrobasilic artery and ischemic of the upper extremity on the affected side.

This disorder can cause symptoms of cerebral ischemia or upper extremity ischemia.

The description in Baidu is basically similar to the man's situation, simply put, he can't feel the pulse, and it gets worse after activity, which is generally more common in the elderly, unilateral, and rarely on both sides.

Wang Guohua held the mobile phone blankly, as if he wanted to eat every word in the mobile phone.

Not long ago, every word he said to the man echoed in his mind, and Wang Guohua was a little ashamed.

He can't see a doctor, these four words are the dirtiest words that doctors of his time scolded their peers.

None of them are even worse than scolding their mothers.

At this moment, Wang Guohua felt that he really "wouldn't see a doctor".

An old face was flushed, and after a long time in a trance, Wang Guohua slowly walked to the B-ultrasound room.

"The diagnosis is relatively clear, there is plaque in the subclavian artery, and there are not many middle-aged people who get this disease. The combined history, which I think came after a fracture two years ago. ”

"Doctor, what should I do?"

"Go to the vascular surgery hospital, just put a stent in the place where there is plaque."

The sound of Luo Hao's conversation with the man reached Wang Guohua's ears.

Clear? It's fast.

It is said that he can't do vascular color Doppler at night, and Wang Guohua is full of doubts in his heart.

But he didn't suspect that Luo Hao was deceiving people, Luo Hao's sunny smile naturally had the power to make people trust.

Could it be that it happened to catch up with the senior doctor who hadn't left work yet?

Wang Guohua walked over and saw that the patient was getting dressed, and he looked around.

There was no one else in the ultrasound room except for one doctor on duty.

"Director Guohua, who are you looking for?" The doctor in the ultrasound room asked.

"Who did the patient's vascular ultrasound?" Wang Guohua didn't hide it, and asked directly.

"I did." Luo Hao walked up to Wang Guohua with a smile on his face as usual, "Director Guohua, the diagnosis is relatively clear, it is left subclavian artery steal syndrome, and I have recommended that the patient go to the vascular department for further treatment." ”

"You?!"

"Hmm."

"Will you do a color ultrasound of your blood vessels?" Wang Guohua was stunned.

Ovarian cysts, liver cysts and vascular ultrasound are two different things.

It is another thing to be able to do it and to evaluate the vascular ultrasound to give a definitive diagnosis.

"Understand." Luo Hao replied modestly.

“……”

Wang Guohua was silent.

"Director Guohua, it's not early, aren't you going home yet? I'm going to order some food, can you eat with me? Luo Hao asked.

"No, no, no." Wang Guohua waved his hand, "I'll go back, why don't you leave?" ”

"I just saw a patient, it's him." Luo Hao looked at the man, "I'll go back and make up an outpatient medical record, and I have to open a list of examinations for the patient, a lot of procedures." ”

Wang Guohua was awe-inspiring, and his evaluation of Luo Hao in his heart improved a lot again.

Will see a doctor is a doctor, Luo Hao gave the patient a satisfactory diagnosis and even carefully made up the outpatient medical records!

B-ultrasound can be free, but the charge must be opened.

Although this is all about the belly of a gentleman with the heart of a villain, only by doing so can we ensure that a man can come up with strong evidence in case of a complaint.

Good people can be good people, but the premise is to keep yourself safe.

Wang Guohua looked at Luo Hao carefully.

Young, sunny and vibrant.

These beautiful words can be used on Luo Hao, but his behavior is as sophisticated as a slippery old doctor who has been in clinical practice for many years and has seen countless medical disputes.

Several different figures circled in Wang Guohua's field of vision, and finally merged into one and became part of Luo Hao.

Sigh.

Wang Guohua didn't speak, waved his hand and turned to leave.

If Wen Youren had half of Luo Hao...... A third of the clever people will not be able to achieve more than that.

Wang Guohua has some regrets, but even more emotion, and a little regret.

[People say that a man is a teenager until he dies, but a teenager ......]

Luo Hao's phone rang.

He glanced at it and answered the phone.

"Mr. Luo, it's time for your car to be maintained, you see which day it is convenient, I will send it to the provincial capital."

"Provincial capital." Luo Hao groaned, remembering Liu Haisen and Director Shi's invitation.

It is appropriate to go to a "superior hospital" and walk around.

"I'll look at the time, I don't need you to take it, I'll drive over."

……

……

With Wang Guohua's help, the ERP operation was carried out smoothly.

Wang Guohua deserves to be the first knife in Donglian City back then, and even now, with a high level of surgery, a solid theoretical foundation, and a wide range of people.

Patients with refractory gallstones and bile duct diseases were collected one after another, and surgical treatment after relevant examinations was improved.

The system task is completed very quickly.

A few weeks later, one weekend, as an ERCP operation ended, Luo Hao heard the sound of "ding dong" in his ears.

System mission accomplished!

[Main Quest: Less damage, more possibilities to complete (Phase 1).]

Task content: Complete 100 interventional surgeries.

Mission duration: three months

Rewards: +1 random attribute points, 100,000 experience points. 】

Random attribute points are added to the spirit, and Luo Hao's mental power becomes 15.

A warm current flowed all over his limbs, as if the protagonist in a fantasy novel had eaten a treasure of heaven and earth, and Luo Hao had a feeling that his energy was inexhaustible.

even

Luo Hao vaguely felt in a trance that he could hear the voices of the people next to him.

This is outrageous, isn't it?

Luo Hao glanced at Chen Yong, who was doing chores beside him, could it be that this is how magicians feel?

It seemed to be more intuitive and greater than the luck value, and a thought appeared in Luo Hao's mind.

But Luo Hao immediately smiled.

15 points of mental power can bring such a strong intuitive feeling to yourself, but what about 34 points of luck?

It works in the dark, but it's just not aware of it for a while.

"Ding Dong~"

[Main Quest: Less Damage, More Possibilities (Phase 2)]

Task content: Complete 1,000 interventional surgeries.

Mission duration: six months

Task rewards: +15 random attribute points, +1 lucky draw, 1,000,000 experience points. 】

Oh, the rewards given by the successive missions in the second stage are so generous that Luo Hao is dumbfounded.

Not to mention random attribute points and lucky draws, experience points alone can level you up.

Seeing that the level 4 surgical skill bar was only less than halfway through, Luo Hao's heart throbbed a little.

Level 5 surgery should be equivalent to the top level in the province, and even if you get Xiehe, you can be on your own.

Do the surgery!

Do surgery!!

Luo Hao thought happily.

He directly ignored the number of surgeries that had risen geometrically, the number of 1000 was imaginary, but the goal was real.

"Dr. Xiao Luo, I think I can try the next stone removal surgery for the Nets." Wang Guohua said.

Chen Yong bowed his head to the side.

He wanted to try it too.

After more than a dozen or twenty surgeries, not only Wang Guohua, but even Chen Yong was eager to try.

But whether it was seniority or something else, Chen Yong knew that he would definitely be behind Wang Guohua.

Contend?

The example of Master Jiang Wenming is right in front of you.

Besides, the master hasn't fought yet, but he knows a little more, and if he can do a little more, he will be assigned to the outpatient clinic.

"Director Guohua, you can do the surgery, and I will give you a hand." Luo Hao said with a smile.

Although facing the "sky" of 1,000 surgeries, Luo Hao did not "close" the surgeries in his own hands.

Although he has not been practicing medicine for a long time, Luo Hao has seen many types of doctors, including Wen Youren-style - never let go, and monopolize the "high-end" surgeries in the region through various means.

This approach works well, but once there is a backlash, the person concerned will face great pressure.

Moreover, Luo Hao has a cheerful personality and doesn't care about such a trivial matter, plus the patients are all accepted by Wang Guohua, so he will definitely not be able to say that he will be able to perform the operation.

The trance illusion caused by the increase in mental power by 1 point just now has already subsided like a tide, and Luo Hao no longer has the feeling of being able to hear other people's hearts.

But after talking to Wang Guohua, Luo Hao seemed to notice something, smiled and said to Wang Guohua, "Director Guohua, Dr. Chen's level has also improved very quickly. ”

Wang Guohua pouted, "Can I still compete with you for surgery?" ”

His eyes were like knives, but Chen Yong's eyes narrowed into a slit, rippling blue waves.

"How capable you are, I'll set you up as big a platform as you want. I'm afraid that you don't have the ability! Wang Guohua continued.

At this point, he suddenly realized that he was no longer the director of the general surgery department of the mine.

Luo Hao also "sensed" Wang Guohua's mood fluctuations, and said with a smile, "Director Guohua, we still have your escort." ”

"Cut, it's just nice to say." Wang Guohua despises.

"It's true, when I was in school in the imperial capital, a buddy came up next door and gave himself two injections, and he was directly paralyzed."

“！！！”

"This incident alarmed the vice president of their affiliated hospital, who is one of us, a very high-level old Chinese medicine doctor. He personally went out and tied it for 7 days before he brought the person back. ”

"Wu Changen of the provincial capital?" Wang Guohua asked.

"Yes, it's Dean Wu, I said that Director Guohua should know." Luo Hao has been coaxing Wang Guohua to speak.

"The students of Chinese medicine are so ruthless that they have paralyzed themselves! That's too much. Chen Yong was surprised.

"It should have been an accident, I don't know exactly where it was, but I visited it at the time. But after a week, it was fine, jumped out of the wall and went to the Internet café to open the black. ”

"You know how to play games!" Chen Yong's eyes widened and he stared at Luo Hao.

"Well, when I was in school, I played occasionally, but my level was not enough, so I stopped playing."

Luo Hao said and explained.

"Not enough? I see you're very fast, so you don't understand the game enough. It's okay, tell me what you play, I'll tell you. There are a lot of details in the game that you can't ...... with your hand speed alone."

Chen Yong was going to continue, but Luo Hao saw that he had misunderstood himself, so he explained.

"I went to the club's training camp and didn't get the first place. Then the club said I could play in the official game, but I had to be a substitute. At that time, it was just in time for the apprenticeship, and I refused. ”

!

Chen Yong scolded viciously in his heart.

It turns out that such a level is not enough.

Accidentally, let Luo Hao load it again.

%￥&%￥%

Chen Yong's heart began to soar with swear words.

The patient's vital signs were stable, and several people carried the patient back to the ward on a flat car.

Wang Guohua took the stones taken out and explained to the patient's family, and Luo Hao asked Chen Yong to accompany Wang Guohua and take the patient back to the ward by himself.

Along the way, Luo Hao carefully pondered the second phase of the long-term main quest.

It is impossible to say that the reward is not greedy.

But the operation is not done by one person, and other people also want to perform the surgery, which creates a contradiction.

Luo Hao wanted to avoid contradictions.

But that conflicted with the goal of completing the surgery quickly.

Life is like this, Luo Hao is indifferent, he can only watch while walking.

Plans, absolutely no changes fast.

Sending the patient back to the ward, Luo Hao habitually stood in front of the ECG monitoring to observe the patient's vital signs to avoid accidents during the handling process.

While looking at the values on the ECG monitor, Luo Hao was looking for a new operation in the system.

The minimally invasive surgery is as vast as a star, and after only a few glances at Luo Hao, he found three or five surgeries that could be carried out in the mine.

The main reason for the general manager of the mine is that the brain drain is too serious, resulting in many new techniques that cannot be carried out at all.

The training of the doctor takes years.

If a pilot is worth as much as a full-length piece of gold, then an experienced and skilled doctor should be similar, or even more precious.

After all, the level of doctors and rich clinical experience are cultivated with human life.

The loss of talents, and the re-training will take another ten years, which gives Luo Hao a blue ocean.

You should find time to talk to Wang Guohua and start a few more new projects, so that the second phase of the long-term main quest can be completed as soon as possible.

Although Luo Hao is peaceful and indifferent, he has a dream - one day he will brush his surgical skills to the top and return to school.

This is the return of brocade clothes.

Luo Hao stood beside the patient's bed, staring at the numbers on the monitor while "daydreaming".

Before he could talk to Wang Guohua, someone had already taken the lead.

……

……

"Master, I have been discharged from the hospital, and it has been a hard time." Wen Youren pulled Wang Guohua into his office, "You said that you are too, isn't it all yours when I'm not in this office, why are you still dealing with them in the doctor's office." ”

"The rules, here. The director can be approachable, but there are some things that don't. Wang Guohua said casually, "Youren, it's good for you to come back, I helped you withstand it for a while, and nothing went wrong." In the future, you should see a doctor and have surgery well. ”

"Yes, Master." Wen Youren's lips moved, and some words didn't come out of his mouth.

Wang Guohua was like a mirror in his heart, he did not sit in the position where he had sat for decades.

The butt decides the head, this may not be understood by a 20-year-old young man, but Wang Guohua understands.

If you retreat, you will retreat, and it will not be good to covet this position again.

Wang Guohua sat on the bed and said lightly, "On the surgical side, I can try not to touch it, you can rest assured and boldly do your surgery." ”

He was very clear about what he meant.

Wen Youren was stunned.

What does it mean not to touch as much as possible?!

"Recently, I have cooperated with Luo Hao to perform more than 20 ERCP surgeries, and I have a lot of feelings. You can rest assured, I don't touch normal surgery, but once there is a problem with ERCP, the surgeon has to come on stage to wipe his buttocks. ”

"......" Wen Youren saw a light in his master's eyes.

Especially when it comes to Luo Hao.

"There's a saying I'll stop when I click – it's time to learn something new." Wang Guohua said lightly.

"Master, you ......"

Wen Youren didn't expect that in just ten or twenty days, the master would be "rebelled" by Luo Hao, he said curtly.

"You." Wang Guohua shook his head and didn't say anything.

After all, the master and apprentice have been on the stage for 20 years of surgery, and many things are enough tacitly, so why say it.

After Wang Guohua left, Wen Youren sat in the office in a daze, gritting his teeth with hatred.

In order to secure the position of this director, how much effort did he take, how many people he offended, and how many doctors who were in the prime of his life.

Unexpectedly, when everything was stable, he was stabbed in the back by Lin Yuming from the medical department.

This knife is Luo Hao.

To this day, Wen Youren's heart is still bleeding.

I don't believe there's anything wrong with him! Wen Youren thought in his heart.

He thought about it for a long time, and then he came to the medical record room when he was almost at work.

"Director Wen, how can you come to complete the medical records in person?" The staff in the medical record room asked in surprise.

The job of the medical record room is to organize and file the discharge medical records on a daily basis.

If there are unqualified medical records, they will be piled aside, and the doctors of the relevant departments will be notified by phone or in the WeChat group to modify them.

After the modification, the medical records are archived.

This is the normal process.

Generally, it is the junior doctor who does this, at most to the level of the attending physician, and the deputy director and above rarely appear in the medical record room.

"I'm here to get some medical records." Wen Youren tried to soothe his tone as much as possible.

"This ......" the staff in the case room glanced up at the clock.

"You get off work first, don't delay picking up the kids, lock the door when I leave. Don't worry, do you have anything to fear of losing? Wen Youren grinned reluctantly to make himself look gentle.

"Then you look at the medical records yourself, I'll change my clothes and go to work first." The staff of the medical record room greeted him happily when he heard that he would not delay his work.

Wen Youren waited for them to leave, and then began to look for the medical records of patients who had undergone surgery in obstetrics and gynecology and general surgery.

102 medical records!

When Wen Youren searched for this number from the computer, the whole person was a little bad.

It's only been a long time, and Luo Hao's own amount of surgery has reached this level!

You must know that Wen Youren performs about 200 surgeries by himself every year. Although one is puncture and ERCP, and the other is laparoscopic and laparotomy, there is still a difference.

But Wen Youren's expression was serious, as if he was facing a great enemy.

A large number of surgeries can train a clinical surgeon, which Wen Youren knows very well.

That's how he was raised back then.

After a few minutes of delay, a sneer flashed at the corner of Wen Youren's mouth.

I don't believe that Luo Hao can have no flaws.

Medical office? How good can the medical office be? If there is really a big problem, you will not hesitate to report it with your real name!

Thinking of Luo Hao standing on the stage and talking eloquently during the hospital-wide consultation, and also warned himself not to do it, the fire in Wen Youren's heart burned brightly.

He printed out all the medical record numbers related to Luo Hao and searched for them one by one.

Because there was no one in the medical record room, Wen Youren simply took all 102 medical records, got them in the car, and went home to study them carefully.

There is a saying in the medical world - no accident proves that the surgery is done less.

Luo Hao has completed so many surgeries in a short period of time, it is no wonder that there is no accident! The reason why it has been calm is because there is a medical office behind it, and I don't know many things.

The more Wen Youren thought about it, the more certain he became of this view.

After looking for medical records for an hour, Wen Youren returned home satisfied.

He didn't even eat dinner, and studied Luo Hao's medical records in the study.

After reading the first medical record word by word, Wen Youren was dumbfounded.

He has never seen anyone write medical records so well, almost every word is carefully written, there are no flaws, and the most standard "A" level medical records.

Impossible, absolutely impossible!!

Wen Youren paid more attention to Luo Hao again and began to read the second medical record.

Still no problem.

How is this possible!

Book 3......

Book 4......

I don't know how many points I saw, Wen Youren rubbed his eyes in a trance.

He didn't even find the slightest fault!

Wen Youren often said - not everyone will do surgery, but who won't pick the fault? This is for the medical service.

But when there was really nothing wrong with the dozens of medical records in front of him, Wen Youren couldn't believe that it was true.

After hesitating for a long time, Wen Youren decided not to look at the medical records anymore and picked up the phone instead.

Just you, Luo Hao, can shake people? Lao Tzu has a wider network than you! Wen Youren thought with hatred in his heart.