The pediatric emergency room is chaotic and loud.

"That's it for pediatrics." Deputy Director Liu heard the sound of crying and scolding from the pediatric emergency department, and his face was ugly, but he didn't want to adjust or watch the excitement, so he pulled Luo Hao and left quickly.

"It's good that the pediatric department of a hospital can still have an emergency department." Luo Hao sighed, "The pediatric department of our mine manager can hardly be opened, and my uncle is worried to death because of this." ”

"Oh? How many other pediatricians do you have? ”

"Counting the director, there are five and a half."

"Why is there still half of it?"

"There was a doctor who was perforated by the patient's family some time ago, and Director Lin said that she was not very emotionally stable and could leave her job at any time, but she is still on the job. So, only half of it. ”

“……”

"If she leaves, our pediatric emergency department will have to be closed, and the outpatient clinic is estimated to be only open."

Liu Haisen shook his head and scolded in a low voice, "It's said that if you don't do it, some people are willing to do it, do it, do it." ”

Complaining couldn't solve the problem, Liu Haisen asked, "Xiao Luo, is there a lot of pressure on your uncle's side." ”

"Great." Luo Hao said, "Just because of the female doctor who was beaten, my uncle and the vice president in charge of women and children almost didn't fight." ”

“？？？”

“！！！”

Liu Haisen first had a question mark on his face, and then an exclamation mark on his face.

All emotions are written on the face, unabashedly.

He knows Lin Yuming's character very well, and for the sake of business, Boss Lin actually wants to fight with his boss.

If it weren't for what Luo Hao said, Liu Haisen would definitely not believe it.

But after thinking about it, this is indeed Boss Lin's style, protecting calves!

"Why are you throwing such a big tantrum?" Liu Haisen asked.

"After the female doctor was beaten, the vice president in charge said that she stayed in the hospital during off-duty hours, so the hospital was not responsible. The most basic compensation is not given, and the doctor has to apologize to the family of the patient who beat him. ”

Holy!

Liu Haisen was stunned by this explanation, is this something that people can say?

No wonder Lin Lao will lose his temper, and he doesn't know what it will be like if the enamel jar in his hand is smashed on the head of this vice president.

With that, several people walked into the emergency building.

Liu Haisen led the way and went straight to the emergency medicine and surgery.

"Doctor, take a look at me, my stomach hurts so badly."

A patient crouched against the wall, leaning against the wall, his face a little pale.

Luo Hao felt that the patient should be suffering from acute cholecystitis or something like that.

The emergency doctor hurried past him, not even looking at him.

I didn't expect the emergency department of the first year of medical college to be so busy.

"Your uncle didn't let you choose an emergency specialty." Liu Haisen quipped.

"Emergency, pediatrics, and radiology are the forbidden areas that my uncle has drawn for me. He said that if I chose any of these majors, he would discount my legs, and if I didn't change them, he would break them again. ”

"Tsk, this is a nephew, otherwise he would definitely fool you into going to the emergency department with treatment and saving people."

After approaching, Luo Hao smelled the smell of blood coming from the emergency room.

There was rescue early in the morning, and several large tertiary hospitals in the provincial capital were really busy.

The patient suspected of cholecystitis couldn't stand the pain, but when he saw that the blood was rushing in the emergency room, his frightened face turned a little pale again, and it seemed that his stomach pain was lightened.

"I was on duty there when I was a little doctor."

Liu Haisen said, pointing to the emergency B ultrasound room.

"How many can you do in one night?" Luo Hao asked.

"More than a hundred, at most two hundred a day." Liu Haisen remembered the eventful years of that year, and couldn't help but feel emotional.

Fortunately, it survived.

As he spoke, the emergency doctor rushed out of the emergency room with a roar on the flat cart, a mellow and beautiful drift, without slowing down at all, and rushed straight to the elevator.

"Presumably for emergency surgery." Liu Haisen said, "Looking at the technology, you can't practice it at all if you don't push a ten-year flat car to send patients." ”

Luo Hao stared at the patients in the distance and the emergency doctors who were pushing the flat cart all the way.

"Itchy hands?" Liu Haisen asked, "If you want to practice surgery, you should come to me." Look at the number of patients! Although there are many patients in the mine, there is absolutely no way to compare with the medical university. ”

"Patient volume is one thing, you don't have advanced technology at all. If you work for a few more years, you will probably be wasted. ”

Luo Hao glanced at the system space, where there were countless general teachers waiting for him, and the number of patients was a joke to Luo Hao.

But Luo Hao didn't refute Liu Haisen, just smiled.

Looking around at the patients waiting for treatment, Wuyang Wuyang is jealous.

Suddenly, there was a crisp sound of "ding dong" in Luo Hao's ears.

[Emergency Mission: A serious patient hidden in the crowd.

Mission: Find and diagnose a serious emergency patient hidden in the crowd, the patient is dying, please hurry.

Mission duration: 6 hours.

Reward: 10,000 experience points, 1 × 1. 】

Luo Hao only glanced at the task, and the whole person became nervous.

As for the brand-new mission reward, Luo Hao didn't seem to see it.

In an instant, Luo Hao's temperament changed. The change was so obvious that Liu Haisen sensed that something was wrong.

Liu Haisen thought that Luo Hao empathized with him and put himself in the perspective of an emergency doctor, so he patted him on the shoulder.

"Relax, it's not your mine manager here, you just come and take a look. If you are interested, you can apply for further training and work with me for a period of time. I'll tell you, young man......"

Liu Haisen was still chattering, and Luo Hao's eyes had already swept around the emergency waiting hall.

To Luo Hao's disappointment, he didn't see any sick and dying patients.

I am not a doctor here, so I can't sit in the clinic, where can I find a patient who is dying?

At least look at the signs, none of them are dying.

Luo Hao was a little sad, but suddenly remembered something.

"Chen Yong, have you ever learned the magic of finding patients at Hogwarts?"

“？？？” Liu Haisen was stunned for a moment.

It was the first time he had heard such words in the hospital.

What the hell is Hogwarts!

"It's not Hogwarts, it's Exeter." Chen Yong retorted weakly.

Not only Luo Hao, but now as long as he knows that he graduated from the British Master of Magic, they subconsciously think that he graduated from Hogwarts.

"It's all the same, I feel that there is a patient who is very serious and needs emergency treatment, and the feeling is very strong. But I didn't find out where the patient was, so you can help me. Luo Hao looked at Chen Yong with blazing eyes.

Is that okay?!

Liu Haisen seems to have found the reason why Luo Hao didn't stay in Xiehe back then, how can he rely on feelings?

Isn't it a joke that I feel that a patient is very sick and needs emergency treatment?

Are you kidding? Could it be some kind of secret word between two young people? Liu Haisen immediately became suspicious of himself.

But the next second, he was stunned.

"Try it." Chen Yong was helpless and took out the necklace he was wearing around his neck.

The necklace was inlaid with a crystal, and Chen Yong put the crystal in the palm of his hand, and the mask trembled slightly, as if chanting a spell.

Liu Haisen, who has rich clinical experience, was dumbfounded, and saw that Chen Yong, who had been wearing a mask and was eccentric, was really chanting incantations as described in the novel, so he pulled Luo Hao back a step.

"Ronaldo, Hogwarts is a school of witchcraft and wizardry in the novel, how can you take it seriously. This is a hospital, and it is necessary to talk about science...... Although the end of science is metaphysics. Liu Haisen reproached.

"Mr. Liu, Dr. Chen went to the UK to study for a master's degree in occultism after graduation, and he is a licensed mage." Luo Hao explained.

"What?"

Luo Hao saw that Chen Yong was still "singing", so he simply gave Liu Haisen a master's degree in magic and occultism from the University of Exeter in the United Kingdom.

In fact, Luo Hao didn't believe it, but the system issued a task, and Luo Hao didn't suspect that the system would play a prank.

Since he couldn't find a patient who was dying, it didn't seem to matter if Chen Yong tried it.

It's not going to make things any worse.

Liu Haisen was very helpless when he heard Luo Hao finish speaking.

Isn't that university in England Hogwarts?

If someone had said today that a Hogwarts wizard had come to the hospital to look for a patient, and he was looking for it in front of him, Liu Haisen would have slapped him in the face.

"Xiao Luo, you're a bit excessive."

"Luo Hao, it seems to be in this direction." Chen Yong's delicate eyebrows furrowed, and he pointed out a direction for Luo Hao.

There was only the man who had just covered his stomach and asked the emergency doctor to treat him first.

It seems that Chen Yong, the magician, doesn't believe it himself.

"I studied magic and the occult, and divination is another course, an elective." Chen Yong explained curtly.

Luo Hao sighed.

The tasks given by the system are too nonsensical, and with so many patients in the emergency department of the First Hospital of the Medical University, it is a dream to find out the endangered people at a glance by themselves.

Could it be the one who was just pushed away?

An idea popped up in Luo Hao's heart.

"Gott~"

The man who had just found an emergency doctor crouched in the corner, skillfully took out a plastic bag, hugged it and began to vomit.

In the direction Chen Yong pointed, the man was so eye-catching.

In addition, the man's action of receiving vomit with a plastic bag is extremely skillful, although Luo Hao does not think that this person is the patient designated by the system, but out of instinct, he still stepped forward to give the man some help.

Walking in front of the man, Luo Hao tried to make the smile on his face gentle, and reached out to help him hold the plastic bag.

Liu Haisen frowned.

The patient looked fine.

Doctors who have been in the emergency department all year round know that the patients who scream fiercely are actually mild. Those emergency patients with indifferent expressions and sitting in a daze need more attention.

The patient in front of him has abdominal pain, vomiting, and typical gastrointestinal symptoms. But the clarity of his words has nothing to do with his dying life.

Luo Hao is obviously inexperienced, and he is so childish with Dr. Chen, who is wearing a mask, that he even talks about magic.

Some are not very serious, Liu Haisen shook his head, maybe this is the generation gap.

The man vomited violently, but there was not much vomit, he wiped the tears from the corners of his eyes vigorously, and said hoarsely, "Thank you." ”

"You're welcome, why are you uncomfortable?" Luo Hao asked.

"The emergency department is so busy, and if I can't see a doctor, I'll be late for class." The man was a little anxious and answered the question.

"Class? You're a teacher. ”

"I'm a college student, sophomore!" The man replied, accentuating his sophomore year.

Looking at his appearance, he should have long been accustomed to people overestimating his age, plus his stomach hurts, so he is too lazy to explain anything.

Sophomore?!

Eighteen or nineteen years old.

No matter how you look at it, it's too anxious.

At such a young age, he can communicate smoothly, and he is definitely not the dying patient that the system says.

But in a short period of time, Luo Hao really couldn't find out who the real patient was, so he chatted with the man, "You have a stomachache?" What do doctors say? ”

"Every time I come, I say it's enteritis, and it's not good to take medicine, but recently I've even vomited, and it's getting worse and worse."

The man's voice was very weak, but he still talked about his illness with Luo Hao, an unrelated person.

"I didn't expect the emergency department to be so busy, you see that patient just now spurted blood, who was embarrassed to put it in to see a doctor."

The man said, sighing deeply.

"I don't know if I don't come to the hospital, there are so many people who get sick."

With nothing to do, Luo Hao asked about the man's medical history while observing the patients around him, including the newcomers.

It turned out that he was sent to the hospital for an infusion a week ago because he went to drink with his bedmates and drank a broken piece.

The man vomited several times that day, was diagnosed with gastritis after significant improvement in symptoms after gastrointestinal cocktail therapy containing viscous lidocaine, dimethicone, aluminum hydroxide, and magnesium hydroxide, and was discharged from the hospital with a prescription for proton pump inhibitors.

It's just that I drank too much and vomited badly, and I had complications such as reflux esophagitis, which was definitely not serious.

But as the week passed, the vomiting did not subside, but worsened.

Luo Hao asked, and his eyes suddenly caught a glimpse of the next step prompted by the auxiliary diagnostic AI - it is recommended to improve the relevant examinations.

Improve the relevant inspection ......

This is the most perfunctory sentence when writing medical records, and it belongs to the correct nonsense.

I didn't expect that a guy with thick eyebrows and big eyes like the system would always talk nonsense.

But in the next second, Luo Hao saw that there were several things in the examination content of the relevant examinations that were completely unrelated to reflux esophagitis and acute and chronic alcoholism.

Among them, echocardiography is so dazzling, showing the "unprofessionalism" of the system.

The man's medical history is simple, a series of complications caused by heavy drinking, although a week has passed and there are conditions such as nausea and vomiting, but that does not mean much.

It's a gastroscopy, and the system wants to check the heart color ultrasound.

.

Luo Hao immediately thought that since it was nonsense, was the system task also nonsense?

"Wait a minute." Luo Hao felt that the system was boring and reassured the man, "The emergency doctor will be back soon...... No, you should be an internal medicine disease, why wait for a surgeon? ”

"Today, I committed an evil crime, and there are more than 120 people in the emergency department, and the internists are all on call." The man said helplessly.

Before the words fell, the expression on the man's face was strange and wonderful.

He barely stood up with his legs between his legs, his facial muscles twisting, "I...... I ......"

As he spoke, he walked straight to the bathroom.

Seeing that the man was walking and staggering, Chen Yong volunteered to help the man go to the bathroom.

"Xiao Luo, you are too enthusiastic." Liu Haisen meant something, and sneered at Luo Hao lightly.

Luo Hao touched his head and smiled bitterly.

An unreliable system gives itself an unreliable task, and it doesn't want to do it.

"Teacher Liu, you can take me to see the B-ultrasound room in a while, your equipment on this side should be better than our mine manager."

"I don't dare say that." Liu Haisen said with a smile, "20-30 years ago, there were two hospitals with the best machines in the province. ”

He paused and sold off.

"To the east is your mine headquarters, and to the west is the oil company affiliated to the oil field company. One of the parent companies sells coal and the other sells oil, which is really rich.

The equipment must be high-end in your two hospitals, according to the old doctor, at that time, your patients came to the provincial capital with a film to see a doctor, and they didn't need to do any more examinations, not in other places. ”

"Now, the first year of medical college has a little more machine, and the quality is not better than that of your mine. You see, your DSA machine has been there for a long time, and if I remember correctly, it should be the third in the province. ”

The two chatted casually, waited for Chen Yong to come out, and then continued to visit the first hospital of the Medical University.

Liu Haisen is full of confidence in Luo Hao's coming for further study.

With Luo Hao working under his hands, his workload can be reduced by an order of magnitude. Although this young man is sometimes unreliable, such as now, he is still quite powerful most of the time.

Liu Haisen gave Luo Hao a positive evaluation of "juvenile heart".

"Luo Hao!"

Chen Yong's shouts came from the bathroom.

Belch......

In an instant, the strengthened spiritual power told Luo Hao that something was wrong at the subconscious level.

Luo Hao trotted to the bathroom.

Chen Yong helped the man, and Luo Hao came in and asked, "What's wrong?" ”

"Blood in the stool."

“！！！”

Luo Hao took a closer look, and there was diarrhea excrement in the urinal, and the excrement was mixed with a dark red color.

Gan!

Luo Hao realized that it was possible that Chen Yong's "occult" power was really a bit of a statement.

Looking at the sophomores who were okay and just got drunk a week ago really have a problem.

"What's going on?" Liu Haisen was long overdue.

"Teacher Liu, the patient has blood in the stool, check an echocardiology." Luo Hao said categorically.

“……”

Liu Haisen was helpless.

Luo Hao, this little guy has always been very reliable, but does blood in the stool have anything to do with echocardiography? !

He probably hadn't taken emergency patients, so he was stunned when he saw blood.

No, I heard Boss Lin say that Luo Hao's surgery was quite good.

Can a surgeon be frightened by a dozen milliliters of blood coming out of a patient's stool?

Liu Haisen was still pondering that Luo Hao and Chen Yong had already helped the patient out of the bathroom.

"Don't rush! I'll pick up the specimen in a moment. Luo Hao said to the others in the bathroom when he went out.

Liu Haisen didn't have time to think about it, and followed Luo Hao into the emergency room.

The nurse in the emergency department knew Liu Haisen, and when she heard that the patient had blood in her stool, she immediately pressed the patient to the emergency bed and installed ECG monitoring.

The blood pressure is stable, the heart rate is not bad, and the patient has no major problems.

"Teacher Liu, does the echocardiology have a bedside?" Seeing that the patient's vital signs were stable, Luo Hao was also a little relieved, and leaned over to Liu Haisen's side and asked in a whisper.

"Xiao Luo, why do you have to do an echocardiology on the patient?" Liu Haisen didn't understand, "Let me ask you, how should blood in the stool be diagnosed, and then how should it be treated?" ”

Luo Hao was helpless, and took a deep look at the AI prompts for auxiliary diagnosis to improve the relevant examinations, which specially indicated that echocardiography should be done, and strengthened his confidence after confirming that it was correct.

But confidence is confidence, but Luo Hao didn't know how to explain it to Liu Haisen.

Why?

Luo Hao didn't know why.

"Teacher Liu, it's too late to explain." Luo Hao could only "perform" a firm, hurried tone and expression that implied that if the patient did not do an echocardiogram, he would die suddenly in the next second.

Liu Haisen was taken aback.

Luo Hao's tone and expression are very common in clinical practice, and experienced old doctors will have similar behaviors when facing emergency patients.

He nodded subconsciously, "If you can do bedside, I'll make a call." ”

Liu Haisen immediately notified the doctor on duty in the department to push the machine over.

But after hanging up the phone, Liu Haisen was speechless.

What's wrong with you? How could you believe Luo Hao's nonsensical request!

Liu Haisen felt that he was teased by Luo Hao, maybe Luo Hao was unintentional, but Liu Haisen was still very unhappy.

He returned to Luo Hao's side and reprimanded in a low voice, "Xiao Luo, your request is a bit excessive. An echocardiogram costs a few hundred dollars, can you do it casually? You are so sloppy, if it is known that you are hanging on the Internet, you will end up with the name of a black-hearted doctor. ”

"......" Luo Hao pursed his lips and remained silent.

Liu Haisen seems to have seen himself when he was young.

"Xiao Luo, why do you do echocardiography on patients?"

Luo Hao's gaze looked at the ECG monitoring.

Just now, the nurse first installed a blood pressure cuff, then installed a blood oxygen saturation clip, and put the electrode membrane on the phone while Liu Haisen was on the phone, and now the patient's electrocardiogram has been displayed on the screen.

Visible to the naked eye, the patient's ECG is disturbed.

Liu Haisen couldn't understand it, but it didn't affect him to make it clear that the patient had a problem with the ECG.

The previous doubts disappeared in an instant.

"This ......"

"Sinus tachycardia with alternating ECG, consider pericardial effusion." Luo Hao replied.

“！！！”

Bangs are awe-inspiring.

While he couldn't figure out why a young man who had been drinking a week ago would develop a pericardial effusion a week later, it didn't matter.

"Wait a minute, I'll go get the specimen." After Luo Hao finished speaking, he turned around to leave.

"You look at the patient, I'll go." Chen Yong volunteered to go to the nurse and asked for PVC gloves and a specimen box.

Chen Yong did the dirty work, and Luo Hao didn't rush to do it. Soon the echocardiographic machine at the bedside was pushed, and Liu Haisen did not change his clothes, and directly gave the patient an ultrasound.

As soon as the probe was applied, the screen showed a more serious image than expected.

Imaging confirms the presence of a large effusion and evidence of right-sided heart failure, supporting the diagnosis of cardiac tamponade.

！！！

Liu Haisen was not surprised, but calmly described the image objectively, and the doctor of B-ultrasound quickly recorded it.

The scene dumbfounded the emergency surgeon who had just returned, and he remembered the patient who was screaming that he had a stomachache.

Obviously there's nothing wrong, why is it that the time to send a traumatic injury to the inpatient department is like this?!

Abdominal pain, vomiting, diarrhea and even blood in the stool are not too problematic and at least enough time to be diagnosed and treated.

But pericardial tamponade can't do it, this is especially fatal!

"Send it to the Department of Circulatory Medicine, prepare for pericardiocentesis." Liu Haisen wiped the probe clean, hung it on the machine, then grabbed a wad of tissues and threw it at the patient, turning to leave.