"Hello, Mr. Zhou." Wen Youren said politely.

"Xiao Wen, what's the matter with me looking for me so late?"

Teacher Zhou...... I want to carry out some interventional surgeries recently, but I am not very well prepared, and I don't know the bottom of my heart, so I would like to ask you for advice. ”

"What do you say? Interventional surgery?! ”

The voice on the other end of the phone suddenly became high-pitched and sharp, pricking Wen Youren's eardrums.

What's going on?

Wen Youren just lied casually, but he didn't expect to step on Mr. Zhou's tail, and the other party jumped up directly on the other side of the phone.

Even Wen Youren felt that a gentle and elegant Teacher Zhou would drill out of his mobile phone in the next second along the airwaves, giving himself a big pocket.

What's going on?!

"Teacher Zhou, I'...... I ......" Wen Youren didn't understand the other party's attitude, so he didn't dare to speak casually.

"How can you be willing to engage in these crooked ways!" Teacher Zhou was furious.

“……”

Wen Youren deeply agreed with the teacher's words.

The other party scolded angrily, but Wen Youren listened happily as if he had met a bosom friend.

It's like Teacher Zhou is scolding Luo Hao and scolding Luo Hao for himself.

Crooked ways, yes, it's crooked ways!!

"Teacher Zhou, you are angry, angry, don't be angry." Wen Youren waited for the other party to gasp and pause to rest, and hurriedly said, "I'm also forced to do nothing." ”

So Wen Youren began to tell Mr. Zhou about some of the things that happened to the mine manager recently.

Add oil and vinegar, the oil is peanut oil, and the vinegar is old vinegar, and the whole thing was said impassionedly by Wen Youren.

Tears were shed when he was suppressed and slandered.

Especially Luo Hao stood on the stage, using a microphone to taunt himself to see a doctor, let alone fighting, and finally was hugged by Lin Yuming and said that it was useless to give him a chance.

Wen Youren said and spoke, feeling sad from his heart, and almost didn't cry.

"Oh, it's just punctures and ercps that aren't there." Mr. Zhou didn't care about Wen Youren's situation at all, he heard that it was not a treatment for liver cancer, so he returned to his former calm and breezy appearance.

"Teacher Zhou, they have gone too far, I estimate that I will soon have to reach out to the treatment of liver cancer."

Wen Youren is not stupid, he figured out the other party's seven inches after a conversation, and began to stimulate Teacher Zhou.

"Humph! A group of dogs, intervening in the treatment of liver cancer, high-pressure syringes injected drugs and contrast agents, and cancer cells ran all over the body, I really don't know what they think! Is this healing? This is murder!! (Note)

"Mr. Zhou, tell me carefully, I don't know much about interventional surgery, but I was forced to make some changes." Wen Youren asked.

Among the completed medical records and patients, Wen Youren really couldn't find fault with Luo Hao, so he had an idea and began to consult this hepatobiliary surgeon in the provincial capital.

"In the treatment of liver cancer, surgery is the main treatment in the early and middle stages, and radiotherapy and chemotherapy are done in the late stage.

Wen Youren listened quietly.

But what Mr. Zhou said was to go around in circles and say that interventional doctors should not have long hands and put their hands within the scope of treatment of the hepatobiliary department.

This is an academic battle in the medical community, and it is not what Wen Youren wants to hear.

Similar things are all public and reasonable, and the mother says that the mother is reasonable, and the ass determines the head, and it is not that the big man has the final say if he has a high status in the rivers and lakes.

For example, in the "Guidelines for the Treatment of Liver Cancer", when interventional surgery was in full swing ten years ago, there was not even a word about intervention.

Interventional surgery guidelines are still a matter of the last few years.

Without him, it's just that the boss of hepatobiliary surgery has a high status.

Waiting for the other party to calm down a little, Wen Youren guided, "Teacher Zhou, I also think that this kind of operation and operation is not good, do they have any problems?" Can you elaborate on that? ”

"There are too many problems." There was a disdainful cold snort from the other side, "Don't say anything else, the iodized oil they use to treat liver cancer, you look for the manual, what is written on the manual." ”

"Huh?!" Wen Youren subconsciously sighed.

It was as if he had discovered a new continent, and his heart was beating wildly.

"The instructions for iodized oil clearly state that it is a positive contrast agent for X-ray diagnosis. It is used for bronchogram, hysterosalpingography, sinus, parotid duct and other cavities and fistulas. (Note)

"No liver cancer treatment?!" Wen Youren was surprised.

"Of course not." Teacher Zhou replied, "They use drugs off-label, where is the safety of patients!" When I say that interventional surgery is crooked, I am not just talking about it. ”

"Does the Food and Drug Administration care?"

Wen Youren's heart was beating faster, his mouth was a little dry, and he swallowed hard.

But he didn't have any discharge from his mouth, it was dry.

"." Teacher Zhou was disdainful, "I stopped importing it for a while because there was no relevant treatment scope in the instructions. And guess what? ”

"What's wrong, Mr. Zhou."

"These two or five eyes are all over the country for iodized oil, and they have to continue to operate. Tell me, what's going on! ”

"As a result, the French company sat on the ground and raised the price, and the price of two or three hundred medicines directly increased by 1,000 yuan."

The price increase and the indication of the instruction manual are two different things, but they are mixed up by Mr. Zhou at this moment.

It seems that he has indeed had a grudge with the intervention department for a long time, and he has no choice but to speak.

"Teacher Zhou, if you look at it this way, the interventional department really shouldn't do surgery." Wen Youren echoed.

"It's interventional treatment for liver cancer!" Teacher Zhou emphasized the key points.

"Yes, yes, yes."

"Iodized oil can't enter the blood, the instructions are written in black and white, these dog things are actually used off-label all year round! It's not a thing. ”

Wen Youren listened to Mr. Zhou scolding for a while, and finally he told him that he must not do interventional treatment for liver cancer, and then hung up the phone.

After a phone call, the harvest is there.

But Luo Hao has never had interventional surgery for liver cancer, Lin Yuming watched it.

Wen Youren began to think carefully about this matter in his heart, and gradually, he had an idea.

If Luo Hao doesn't do it, then he can ask him to do it.

As long as interventional surgery for liver cancer is done, iodized oil must be used.

There are some things that don't weigh four or two, and you can't beat a thousand catties. Iodized oil can't enter the bloodstream, find the instructions yourself to make sure, if that's the case...... Hey.

Lower your posture and let Luo Hao and ...... Backstab yourself with your own master.

And then!

Wen Youren didn't know that when he thought of this, the corners of his mouth had already shown a heartfelt smile.

That's it!

Dare to yin Lao Tzu, then you wait!!

……

……

Luo Hao didn't know what happened to Wen Youren, he went to work normally, received medical treatment normally, and operated normally.

The system task is a water mill.

Early in the morning, Luo Hao came to the hospital, and Wen Youren was standing in the corridor in a clean white suit with obvious creases and was talking to Wang Guohua.

Seeing Luo Hao coming, Wen Youren waved warmly, as if he was an old friend.

"Xiao Luo, come on."

Oh heh?

Luo Hao felt that something was wrong.

Although his mental power had only increased by 1 point, Luo Hao could feel a huge change.

Now my sixth sense has been developed.

Maybe it's just speculation, but Luo Hao became wary when he saw Wen Youren's face full of smiles and amiable appearance.

"Director Wen, it's morning." Luo Hao said with a smile.

"I was about to talk to Master." Wen Youren said, "A patient came to me and wanted to have liver cancer surgery. ”

"Oh." Luo Hao sighed quietly.

Do you want to give up the surgery to yourself?

Luo Hao felt that there was no such possibility.

Now that he and Wen Youren are on the same page, the relationship is not much better.

"Aren't you going to do interventional surgery, help me make a picture before the operation, and make a simple embolization with iodized oil." Wen Youren said.

Luo Hao was puzzled, what happened to Wen Youren today?

"A friend got the treatment plan back from the magic capital, and he couldn't live in the hospital. I don't know if Xiao Luo can you do it? Wen Youren pushed the problem onto "friends".

"I'll ask about that." Wang Guohua did not doubt him, and said angrily, "A few years ago, a patient went to the Oriental liver and gallbladder for surgery, and I helped to contact him, and it was indeed said that he had to be involved in the department before and after the operation. ”

"Yes, Master." Wen Youren said with a smile, "The addition of interventional surgery can significantly improve the success rate of liver cancer treatment, but no one has done it before, and the amount of surgery on my side is too large, so I don't have time to learn." Now, there's a little snail in the sky. ”

The smile on Luo Hao's face remained unchanged, but he became more and more sure that Wen Youren had a problem.

The sixth sense is really interesting, no wonder someone always says something about women's intuition, Luo Hao looked at Wen Youren's smile, and his mind had already flown to the other side of the sky.

But what Wen Youren wanted to do, Luo Hao didn't know.

"Xiao Luo, you and Xiao Chen take the patient in." Wang Guohua waved his hand and said undoubtedly.

"Okay."

Admitted the patient to the hospital, Luo Hao thought for a long time after asking about the medical history, but he didn't know what medicine was sold in Wen Youren's gourd.

Eccentric.

Could it be that Wen Youren has really opened his mind?

Or is it because he sees Wang Guohua's face and wants to sincerely develop new technologies and better treat diseases, so he willingly wants to add interventional surgery?

Since he can't think about it, he doesn't want to think about it for the time being, Luo Hao is open-minded by nature and puts things aside for the time being.

"Luo Hao, don't you think there's something wrong?" Chen Yong asked after writing the medical record.

"What's wrong?"

"Let's go and smoke a cigarette."

When the two came to the fire escape, Chen Yong didn't take a cigarette, but asked in a low voice, "The patient accepted by Director Wen also took the initiative to do interventional surgery, which is not in line with his personality." ”

"Huh." Luo Hao laughed, "What kind of character is Director Wen?" ”

"Be serious, I always feel like there's a big hole in this." Chen Yong said solemnly, "In the past, several deputy directors of the department were squeezed away by him by various means. ”

"For example?" Luo Hao didn't know about the old things of general surgery, so he asked.

"I don't know the specifics, you can ask my master. By the way, my master's copyright fee has come down, let me ask you when you have time to have a meal together. ”

"Noon?"

"Okay."

Jiang Wenming didn't call Luo Hao, and used general standards to judge that this guest was not sincere enough.

But Luo Hao didn't care, he was very interested in Jiang Wenming.

During the operation that day, Jiang Wenming not only had to treat the disease, but also considered the future of the two people who were impulsive.

Although the patient's condition was very serious and his goal was not achieved, this also made Luo Hao feel good enough in his heart.

made an appointment to eat at Yuanyang at noon, and Luo Hao went to work by himself.

At noon, Luo Hao came to the barbecue as promised.

Boss Ding had already left the only single room, and after the three of them sat down, Luo Hao inquired curiously, "Teacher Jiang......"

"Don't call you teacher, call me brother." Jiang Wenming waved his hand.

"Brother Jiang, I heard that what you wrote was surrounded by beautiful women, really?"

"Hmm." Jiang Wenming nodded.

His expression was flat, and he didn't see the slightest hint of smugness, as if he was talking about someone else's business.

"The name...... That's amazing. Luo Hao didn't know what to say.

"Hahaha." Jiang Wenming smiled, "Don't you think it's vulgar?" ”

"Hmm." Luo Hao didn't care about Jiang Wenming's face, and directly gave a positive answer.

"There are so many books, so many games, who will click in with a literary name. Vulgarity is elegance, you look at readers, players, surrounded by beautiful women, do you want to click in to take a look? ”

"Yes." Luo Hao replied honestly, "What types of beauties are there?" Brother Jiang. ”

"All kinds of things, only you can't think of it, no company can't do it. I've been writing a little less genre, and recently I've been asked by game companies to add some more. ”

"Oh?"

"Let's put it this way." Jiang Wenming said casually, "When the RB economy next door was good, the type of royal sister was popular, and we were similar, there used to be a book called "I Am a Big Star", and the author liked the royal sister. ”

Luo Hao had heard of this book, but he hadn't read it.

The name is really simple and straightforward, similar to what Jiang Wenming said.

"When the economy gets a little bit worse, the style starts to mess up. The economy continues to decline, childhood sweethearts occupy the market, and the childhood sweethearts fall from the sky at the beginning, and the protagonist is responsible for making money. Later, the economy is becoming more and more severe, and the protagonist in the book directly picks up the female Bodhisattva who is innocent and killed. ”

"Uh~ha~" Luo Hao expressed his incomprehension of the three words innocence, hundred people beheading, and female bodhisattva mixed together, and made two strange sounds.

"I just gave it a try, but I didn't expect it to happen." Jiang Wenming said with a smile, "Now you can rest assured that you can care for the elderly in the outpatient clinic." By the way, Director Wen talked to me a few days ago. ”

Jiang Wenming seemed reluctant to talk about his own business, and after a brief chat, he brought the topic to the hospital.

This is the purpose of his self-finding, Luo Hao sat upright and listened carefully to Jiang Wenming's words.

"Director Wen asked me to accept 5 liver cancer patients every month, otherwise my bonus would be deducted."

"Brother Jiang, you don't care about this money, do you?" Luo Hao asked.

"Money doesn't matter, but it's kind of interesting. Coupled with Xiao Chen's change in Director Wen today, don't you think something is wrong? ”

Jiang Wenming's thoughts are the same as Luo Hao's.

Luo Hao replied seriously, "I think something is wrong, but I don't understand it." ”

"I didn't understand it either." Jiang Wenming advised, "But you should be careful in the Department of General Surgery, Director Wen does this, and he is very enthusiastic about doing it, it must have a deep meaning." ”

Luo Hao smiled.

"By the way, Brother Jiang, I heard that some deputy directors of the Department of General Surgery used to have strong technical skills, but then they all left."

"I was a young doctor at that time. As soon as Director Wen became the director, the first step was to send a responsible attending doctor with a withdrawn personality to the emergency department. There was a shortage of people in the emergency department, so the hospital asked the general surgery department to send someone to support, and Director Wen did just that. ”

"It seems to be fine, but the support for the emergency department is usually half a year, and several people take turns. After Lao Hua was dispatched, he has been squatting in the emergency department, responsible for 120. ”

Luo Hao nodded.

"In the future, as long as the operation is better than Director Wen, it will be squeezed out, for all kinds of different reasons. There was even a deputy director who did not make any mistakes back then, and Director Wen directly stopped his operation. ”

"Doesn't it matter in the courtyard?" Luo Hao asked.

"Problems within the department, as long as there is no medical accident, there is no reason for the hospital to manage it. Director Wen can also tell the leaders of the hospital that there are thorns in the bottom, but do you think the leaders of the hospital don't know about the actual situation? ”

"If he can go up, he naturally has the support of the leaders of the hospital. It is also inevitable that the party will fight against differences. ”

Jiang Wenming lightly recounted what had happened in the past ten years in general surgery, and did not scold Wen Youren in a single sentence, but every sentence seemed to be scolding Wen Youren.

"Brother Jiang, you were also kicked away because of these things." Luo Hao said with a smile.

"Who said that, I applied on my own." Jiang Wenming said, "The original work of the fire game is how awesome it is. Now there are more manufacturers who are looking for me to order, and it is a big order casually, so there is no need to dislike people in the department. ”

"Are you ready to resign?" Luo Hao asked.

Jiang Wenming shook his head, "I'm not good at communicating, what are you doing when you quit." I have been a doctor for half my life, and I can't float with a little money, so I still stay in the hospital and feel at ease. Let me tell you Xiao Luo, our doctor doesn't seem to have a high ceiling, but the lower limit is really high. ”

Luo Hao nodded again and again.

"I'm asking you to be careful, Chen Yong has also done a few cases recently, what do you think of his level?"

Jiang Wenming changed the topic very quickly and was a little blunt.

"The level is quite high."

"I think so too, I have time to put Chen Yong for more surgery." Jiang Wenming used the word "put", and he had already put Luo Hao in the position of a senior doctor to talk.

"Brother Jiang, you are too polite, I am also a little doctor."

"Little doctor?" Jiang Wenming's expression is quite interesting.

"Definitely ......"

Several people were chatting, and Boss Ding opened the door curtain to serve the food.

"Luo Hao!"

Zhou Tianci happened to pass by, and when he saw Luo Hao slightly stunned, he immediately walked in with a smile on his face.

"God, why are you here?" Luo Hao asked.

"It's not a belt...... Do people do color ultrasound of the heart? Zhou Tianci saw that there were still strangers, and he didn't say it too clearly.

"It's fine."

"Okay." Zhou Tianci's eyebrows fluttered, "I used to think that ventricular septal defect was a big problem, and if you want surgery, you need to use a sternal saw here to cut the sternum and then do surgical sutures." ”

He said, gesturing at his chest.

"As a result, the operation took less than an hour, and there was nothing wrong after the operation, as if there was no surgery. After the postoperative examination, the ventricular septal defect was gone. ”

"It's good if the surgery is successful." Luo Hao smiled.

"Then I won't bother." Zhou Tianci only said a few words, didn't dare to disturb Luo Hao, and left.

Luo Hao didn't force Zhou Tianci to stay, closed the door and ate and chatted with Jiang Wenming and Chen Yong.

"Did you have surgery on the weekend?" Jiang Wenming asked.

"No, I have to go to the provincial capital on the weekend."

"Oh? What to do? ”

"My car needs maintenance."

Jiang Wenming was stunned for a moment, and looked Luo Hao up and down, as if he had heard something extremely ridiculous.

"Luo Hao, you still have to go to the provincial capital for maintenance of your broken car?" Chen Yong was straightforward and asked Jiang Wenming what he felt funny.

"It's just because it's too broken, we don't have a place to repair it in Donglian City." Luo Hao said calmly.

Jiang Wenming diverted the topic and said something light.

He is not very old, but he has seen and heard a lot, and Luo Hao has never heard of many things.

After eating happily at one meal, Luo Hao's good impression of Jiang Wenming increased a lot.

After eating, Jiang Wenming wanted to pay, but Boss Ding said that someone had already bought the bill.

"Xiao Luo, it's really hard to invite you to a meal." Jiang Wenming was helpless, "This meal is your treat, wait for the time to get together again next week, and I'll come when I say okay." ”

Luo Hao and Jiang Wenming said a few polite words, and when they saw Zhou Tianci's figure at the door of the barbecue, they said that they would go out to find Zhou Tianci first.

"God, you're too polite." Luo Hao said with a smile.

"Yes, Luo Hao, you don't know how grateful Section Chief Duan is to you." Zhou Tianci leaned into Luo Hao's ear, "Are you free on the weekend?" ”

"Huh? What's wrong? ”

"Section Chief Duan saw that your car was too broken, so he ordered it with me two or three times. I happened to be going to the provincial capital on the weekend, and someone in the imperial capital saved up a game. ”

Zhou Tianci said it mysteriously, as if there was something unseemly.

"Oh? What bureau? Ha, don't ask, don't ask. Luo Hao said with a smile.

"It's all my own people, there's nothing I can't say." Zhou Tianci said, "Importing coal from Mongolia, our mining area has follow-up equipment, which is just right to pass the hand." ”

Luo Hao is not interested in these things, his left ear listens, and his right ear rises.

"Section Chief Duan has been thinking about how to express his gratitude, and this time two coal bosses from Inner Mongolia were in charge of hospitality, and one of them opened a 4S store in the provincial capital."

"You can get a discount on a car." Luo Hao said with a smile.

"We don't want him for nothing, it's just a discount. It doesn't matter if the business is successful or if you buy a car, you can rest assured. ”

"Forget it, thank you for accepting it, just buy a car."

"Why are you so polite! Is there anything going on over the weekend? Zhou Tianci was a little unhappy.

"I drive to the provincial capital on the weekend."

"That's just the way to go." Zhou Tianci said, "That's it, you take a look, and if there is no suitable one, you will talk about it." ”

……

……

Note 1: Many general surgeons have similar thoughts and are particularly helpless.

Note 2: This is a public case.

In the 60s of the last century, Dr. RB did the first interventional treatment of liver cancer, and in the 80s, he began to use iodized oil for interventional embolization surgery of liver cancer.

At that time, iodized oil was not used in the instructions.

Due to the conflict with the drug administration, the iodized oil produced by the French company Jiapak could not be imported around 2009. In order to perform surgery, it is also true that Mr. Xu Ke of the University of Traditional Chinese Medicine borrowed iodized oil from all over the country.

It was not until around 2013 that the scope of application of interventional treatment for liver cancer was added to the instructions of iodized oil, which avoided the embarrassment of off-label medication.

This plot is true, and there are some deductive elements, after all, it is very old, the parties are all bigwigs, they can't be touched, and the details are guessed.