Drug Instructions!

The big turntable turned to the drug leaflet.

Luo Hao's mind moved, and the "prize" appeared in the system space.

It is the instruction manual of the Chinese version of iodized oil.

Indications - positive contrast agent for X-ray diagnosis. It is used for bronchogram, hysterosalpingography, sinus, parotid duct and other orifice and fistula angiography, and also for the prevention and treatment of embolism of endemic goiter, endemic cretinism and liver malignancy.

It's done!

Luo Hao stared at the last ten words excitedly.

Embolic treatment of hepatic malignant tumors!!

The reward given by an emergency mission with a countdown to death, plus the superposition of the wish stone (small), and maybe a bonus of 34 luck points, finally drew the drug instructions.

Then the turntable jumped again, and Luo Hao was dumbfounded.

Can the lottery also be drawn twice?

The point is that I didn't spend 648.

The system is more conscientious than a penguin, Luo Hao thought to himself.

The second reward may be a ripple that appears under the effect of the wish becoming a stone (small), Luo Hao thinks so.

However, the big turntable was still moving, and the position of the pointer was still flashing, so Luo Hao was not in a hurry, and went to read the manual first.

After confirming that it was what he needed, Luo Hao sighed, he believed that this manual would become a reality in a short period of time.

In addition to being excited, Luo Hao sent a WeChat message to Mr. Xu, sending the indications of the drug instructions to Mr. Xu.

In the end, Luo Hao marked that this was the indication of iodized oil in his opinion, and recommended himself to Mao.

After doing these things, Luo Hao was very happy.

The apprehension in my heart gradually subsided.

At this point, I returned to the system space and found that the position of the pointer had been settled.

Reward – Medical Group.

Medical team?

Luo Hao thinks that it should be a kind of aura-type auxiliary ability that increases the four-dimensional ability of everyone in the medical group.

But after reading the instructions carefully, Luo Hao was stunned.

The medical team now has 3 vacancies in addition to itself, but instead of enhancing the four-dimensional and ability of the doctors in the medical team, it classifies the surgeries performed by the renamed doctors under the name of the medical team leader.

Capitalism of all evils,

It smells so good!

Luo Hao excitedly looked at the explanation of the [medical team] repeatedly, and after making sure that it was not a dream, his hands were clenched into fists and he waved it in mid-air.

This skill or ability is simply against the sky, and it is a bug in doing tasks.

Although it requires verbal confirmation from the team leader and the doctor, Luo Hao does not think that it is an insurmountable difficulty.

It's just that Wang Guohua is too old now, and Chen Yong is too improper, Luo Hao didn't think of who the members of the medical team would arrange for the time being.

You still have to be careful about this matter, what if you can't change and pull in a second bastard.

Satisfied, Luo Hao came to the ward, Chen Yong was holding his mobile phone and didn't know which girl he was chatting with, his fingers typing quickly.

Luo Hao didn't care about him and began to check the medical records to prepare for today's surgery.

"I've seen all the medical records." Chen Yong lowered his head and chatted, and said to Luo Hao, "Look at the problem, I'll change it." ”

Luo Hao nodded, but did not disturb Chen Yong chatting with the girls.

Soon it was time to go to work, medical staff arrived one after another, and the empty and quiet office was lively.

Wen Youren had been preparing for this day for a long time, and the information he received early in the morning made him extremely happy.

There was an emergency rescue last night, but he didn't even notify himself, Wen Youren ignored this matter and focused on another thing - Luo Hao actually pointed at the nose of the old director of Guohua and scolded his mother.

Today's young people are really bold.

And arrogant, with his tail cocked to the sky.

Just made a little insignificant achievement, how dare you go against the old director of Guohua?

Isn't this forcing the master who backstabbed himself to turn back?

Originally, Wen Youren was still a little hesitant, because he knew very well how much energy Director Guohua had.

If the master really stood on Luo Hao's side with an iron heart, his "killer weapon" might not be able to move this little cub and hit Lin Yuming by the way.

You're killing yourself!

Wen Youren thought in his heart.

People are in good spirits on happy occasions, Wen Youren changed into white clothes and pretended to go to the ward, and looked at the patients before the shift, but in fact, he kept staring at Wang Guohua's figure.

Ten minutes later, at 7:53, Wang Guohua appeared.

Wen Youren ran a few steps quickly and came to Wang Guohua's side.

"Master, you're here."

"Well, it's surgery day." Wang Guohua was a little tired, after all, he was old, and he definitely didn't recover as fast as Luo Hao.

"Master, I have something to tell you." Wen Youren invited Wang Guohua to the director's office, closed the door and said angrily, "The young people now are simply too much!" Luo Hao dared to talk to you like that, I was worried. ”

"Huh? Who do you listen to. Wang Guohua looked indifferent and knew everything well.

"Master, Luo Hao actually relied on his identity as a staff member of the medical department to point fingers at you, does he still have a little pressure in his heart!" Wen Youren ignored Wang Guohua's question and scolded sharply.

"It's normal." Wang Guohua said lightly.

"Normal?!"

"If it weren't for Luo Hao yesterday, that patient would have died twice." Wang Guohua said, "For the first time." ”

He held out a finger, as thick as a carrot.

"Heart compression, I didn't press it back, Luo Hao pressed it back. In hindsight, I observed that the heart was not damaged by external forces. ”

"Second, if it were me, I would definitely urgently do portal umbilical vein devascuration. This surgery is very difficult to do, as you know, even if it is a slow surgery. Patients with hemorrhagic shock who have this kind of surgery can be said to be dead for life. ”

"But Luo Hao did band ligation under gastroscopy, and the bleeding was stopped in less than 5 minutes."

Wang Guohua looked at Wen Youren deeply, "Youren, as a doctor, food is the original sin." It's normal for me to be scolded a few times. ”

!

Wen Youren was stunned.

Is this still the master who usually acts vigorously and resolutely and wants to kick everyone in the ass when he directs the rescue?

"You think I'm willing to curse in the emergency room? It's not like there's no way. Last night, in order to save people, Luo Hao kicked open the iron door of the gastrointestinal endoscopy room. This temper, like when I was younger. ”

"......" Wen Youren was dumbfounded.

Wang Guohua stood up and patted Wen Youren on the shoulder, "Cai, it's the original sin." ”

After saying that, he sighed softly and turned to leave.

Vegetables are original sin!

This sentence was like a big blow to Wen Youren, and it snapped.

Master, this is scolding yourself! Wen Youren thought viciously in his heart.

Wang Guohua left, the office door closed, and Wen Youren was left alone.

His emotions were no longer restrained, his face was full of ferocity, and his masseter muscles bulged, as if he was biting Luo Hao.

Since this is the case, then don't blame me for being ruthless, Wen Youren had a thought in his heart.

I don't know how long it was, but there was a knock on the door.

"Director, it's time to take over." The head nurse was looking for Wen Youren outside to hand over the shift.

Wen Youren responded, sorted out his mood, and when he was about to go out, he retreated back and looked at his expression in the mirror.

It wasn't until the last trace of cruelty on his face disappeared that Wen Youren grinned, and when he saw that there was nothing wrong, he went to hand over the shift.

There was nothing to do in the shift, the ward rounds were to see the patients, the wife was peaceful, and Wen Youren was proud.

Only his own still water flows deeply, let Luo Hao be proud first, and then give him a fatal blow, hoping that Luo Hao's eyes can have stunned and confused about the backstab.

Sending the patient to the interventional catheterization laboratory, Wen Youren followed Wang Guohua as if nothing had happened, constantly asking about the advantages and disadvantages of the new treatment combining interventional surgery and liver cancer surgery.

"Luo Hao, does Director Lin know that you are doing interventional surgery?"

On the way to the operating room, Chen Yong asked Luo Hao in a low voice.

"I don't know, there's no need to let Director Lin know about such a small matter of clinical practice." Luo Hao smiled.

"If he knew, would Director Lin be angry?"

"I have a way."

Chen Yong raised his eyebrows, glanced at Luo Hao, and silently expressed his distrust.

Luo Hao shrugged.

After comforting the patient, Luo Hao went to put on a lead coat and brush his hands to prepare for the operation.

Luo Hao, Wang Guohua, and Chen Yong's mobile phones were placed in a row in the operation room.

After closing the airtight lead door of the operating room, there was no signal in the operating room, and there was also vaginal discharge.

And it is said that X-rays have an impact on the life of mobile phones, which has not been verified.

The airtight lead door slowly closes, and the operation officially begins.

"Director Wen, do you want to learn interventional surgery too?" Technician Xiao Zhao asked idly.

"Hmm." Wen Youren replied vaguely.

"I didn't expect Director Lin to have been thinking about it for so many years, and our mine will finally see interventional surgery again one day." Technician Xiao Zhao chattered while looking at Luo Hao and Chen Yong who were doing surgery inside through the lead-made glass, and Wang Guohua, who was standing behind them and stepping on the footstool to watch the operation.

"There's no oil and water in the interventional department, and the dogs don't do it."

"Who said that!" Wen Youren reprimanded.

"I don't understand either." Technician Xiao Zhao heard Wen Youren's bad tone, and immediately explained, "But I see that some vascular and circulatory interventions are done by people, but there is no one in the interventional department at all, and it is estimated that there is no oil and water." ”

Someone helped Luo Hao speak, although the words that the dog didn't do it were a bit unpleasant, but Wen Youren was still very unhappy.

Because of Wen Youren's presence, the operation room quickly fell silent, and everyone did their own work.

Technician Xiao Zhao looked at the operation and quickly looked excited.

The difficulty of the operation is not low, the patient's blood vessels are tortuous, but the guidewire operated by the surgeon is as if it has an eye, and it reaches the designated position smoothly.

This level is much higher than the level of the former director of the interventional department and the professors, and the technician Xiao Zhao was just about to applaud, and when he turned around, he saw Wen Youren's face.

It's really special, don't come if you don't want to see it, technician Xiao Zhao sneered.

[People say that a man is a teenager until he dies, but how can there be a teenager ......]

The phone rings.

"Huh? Xiao Luo's mobile phone ringtone is very good. Technician Xiao Zhao picked up his mobile phone with a smile and glanced at it.

The caller prompt is marked with [Uncle].

"Xiao Luo, Director Lin called you, I'll pick it up for you?" Technician Xiao Zhao pressed the button on the walkie-talkie.

"......" Luo Hao was stunned.

I originally wanted to do an interventional operation secretly, but I didn't expect Lin Yuming, who rarely called me during work hours, to call at this time.

"Let's take it." Luo Hao said helplessly.

Turn off the intercom, and technician Xiao Zhao connects the phone.

"Director Lin, Xiao Luo is undergoing surgery, I'll give him a message if you have something."

"He's doing interventional surgery?!"

A wave of anger instantly came out of the phone, and the technician Xiao Zhao felt that Luo Hao's mobile phone was like a fire-breathing dragon, and his ears had been scorched.

"Little cub, now you have learned to disobey yang and yin, #¥@&*" Director Lin has already begun to scold.

Technician Xiao Zhao sighed.

Interventional surgery dogs don't do it, this is not a lie.

Director Lin has been looking for someone to do interventional surgery for so many years, and is ready to recover some emergency first aid and treatments similar to uterine fibroids, but the operator is his nephew, and his attitude is very clear.

Alas.

After scolding someone on the phone, the voice stopped abruptly, and then a blind sound of "doodoo" came out.

Wen Youren saw that Lin Yuming was angry, and a happy smile appeared on his face.

Soon, Lin Yuming appeared in the operating room of the interventional catheterization laboratory.

He did not stop the operation.

Half of the operation is done, and it is reasonable to finish it.

But Lin Yuming's dark face showed his true emotions.

This is why Luo Hao is still undergoing surgery, and Lin Yuming resisted the urge to kick him hard.

But this kick must not be able to dodge, technician Xiao Zhao guessed.

The operation was done quickly, and the technician Xiao Zhao estimated that the 2-hour operation would be over in less than 50 minutes, and Luo Hao walked out of the operating room wearing a lead suit.

"Director Lin!" Luo Hao stood upright and well-behaved, and his eyes were already narrowed into a slit.

"You come with me." Lin Yuming called Luo Hao away with a black face.

Wen Youren watched the two of them leave with a smile, and was just about to say something cool when he saw Master Wang Guohua also come out.

"What's the matter with Director Lin?"

"I don't know."

"I know the horn all day long, it's nothing to wear lead clothes and eat some lines, just avoid the line for half a year after getting married, and worry about it." Wang Guohua reprimanded.

"Master, you're right." Wen Youren said.

"Do you understand the surgery?" Wang Guohua asked.

"I understood, Xiao Luo found all the arteries that donate the tumor, injected iodized oil in them, and then bolted the arteries. After a week we can do surgical treatment, and there are several advantages to pre-intervention. First, it is easier to identify the tumor boundary during surgery......"

Although Wen Youren has a low education, is a bit stupid, and has no talent, after all, he has been working in general surgery for more than 20 years.

"Overall, interventional surgery combined with surgery is a trick and reasonable." Wang Guohua made the final decision.

The patient's local puncture point needs to be compressed to stop bleeding for 15 minutes.

Although the time for high-value consumables such as hemostats to enter the clinic is getting shorter and shorter, doctors in the front line of clinical practice are now very cautious, and high-value consumables can not be touched unless they have to.

It's like going back in time, back to the beginning.

However, there are still changes, and the elastic bandage remains, which is a powerful tool to avoid bleeding at the puncture point of the femoral artery after surgery.

Chen Yong pressed, Lin Yuming and Luo Hao didn't come back for a long time, and Wang Guohua kept watching the time.

10 minutes later, Lin Yuming walked in, and Luo Hao followed behind him.

"Director Guohua, Director Wen, there is a consultation, but don't worry, wait until the operation is done."

"What consultation?"

Wang Guohua asked.

Lin Yuming shook his head and made a gesture of silence.

Oh? Wang Guohua and Wen Youren were stunned, why do they have to keep it secret? !

However, Lin Yuming's attitude was very clear, and the two didn't ask much.

The second operation ended an hour later, and it was still Chen Yong who pressed, and Lin Yu called Luo Hao, Wang Guohua, and Wen Youren to come to the conference room of the organ.

In addition, the consultation was attended by Director Li of the Department of Gastroenterology and Director Sun of the Department of Oncology.

Counting Lin Yuming, there are 6 people.

Everyone was worried, and after they sat down, Lin Yuming cleared his throat, "Let's sit together and talk casually." ”

Casual chat?

Wen Youren pouted.

The gods are mysterious and sneaky, and you can tell at a glance that it is not a good thing.

"It's all relaxing, it's just small talk."

As he spoke, Lin Yuming took out the documents and put on reading glasses.

Looking at Lin Yuming's appearance with glasses, Wen Youren felt that he was like a wolf grandmother.

"Patient male, four-...... Around 40 years old, drinking alcohol for 20 years (250~500g/d), smoking for 20 years (20 sticks/d). He was presented with "recurrent diarrhea with soreness in the left back for 3 months and weight loss of 6 kg". ”

"Director Lin, you can print out a copy of the medical record for us to read, which is easier than reading it for you." Wen Youren suggested.

He looks at Lin Yuming very unpleasantly now, no matter what Lin Yuming does, it's not right.

"I'm sorry, I just want to hear the opinions of experts and directors." Lin Yuming refused without hesitation, without a trace of compromise.

"That's too much, isn't it?" Wen Youren wanted to slap the table and stand up to face Lin Yuming, but reason overcame impulse, and he still held back.

After so many years of medical practice, Wen Youren has never encountered such a bizarre consultation, and no one believes it when he says that it is okay.

Lin Yuming ignored him and continued to read.

"B-ultrasound suggests uneven hypoechoic in the pancreatic head."

CT showed obvious atrophy of the pancreatic tail, dilation of the main pancreatic duct, slight distention of the obstruction point, and patchy soft tissue density shadow around the abdominal trunk, enhanced scanning, and the above lesions showed relative lack of blood supply; The gastric wall is edematous, and numerous twisted and thickened vascular shadows can be seen around the stomach.

The diagnosis given by the imaging department was "pancreatic head cancer invading the duodenum, retroperitoneal lymph node metastasis encircling the abdominal trunk, and portal vein trunk-superior mesenteric vein cancer thrombosis". ”

"Where's the film?" Wang Guohua asked.

"For the time being, the experts will express their opinions and share their opinions." Lin Yuming said.

"Finished?!"

"Well, that's all for the information."

Wang Guohua is very unhappy, this is too unprofessional, he is about forty years old, and he doesn't show the film, isn't it a joke.

"What can be seen here, pancreatic cancer is advanced, chemotherapy and symptomatic treatment are recommended, and then an examination will be done after treatment to see if there is a surgical way to remove it."

Although Wang Guohua was unhappy, he still gave his diagnosis.

"That's all? Is it possible to be benign? Lin Yuming asked.

"I don't dare to talk nonsense if I haven't seen the film, but in terms of description, it is a typical malignant tumor, and it is still advanced."

The directors of the Department of Gastroenterology and Oncology also agreed with Wang Guohua.

The opinions of the consultation were relatively unified, and Lin Yuming sighed.

But the corner of his eye fell on Luo Hao.

Luo Hao sat with a frown, as if pondering something.

"Luo Hao, tell me." Lin Yuming said.

"I also agree with the opinions of the teachers, considering that it is an advanced malignant tumor."

Lin Yuming sighed in his heart.

"But if you want to say whether it is possible to be benign, I think it is still possible, and you need to watch the film."

"Oh? Virtuous? Lin Yuming's eyes lit up.

"Need a film."

Faced with Lin Yuming's inquiry, Luo Hao gave the same answer as everyone else.

"Wait a minute, the film will arrive in a while."

Lin Yuming didn't leave the people present, and several people felt that this was strange, so they didn't leave, and waited silently.

In the conference room, only Lin Yuming held the enamel jar and drank tea, and the sound sounded intermittently.

After more than 20 minutes, Lin Yuming received a phone call, and he then walked out of the conference room.

"What's going on, just see a doctor, and don't let me know who it is, vaguely, I really think it's a great big man!" When Wen Youren saw Lin Yuming going out, he scolded.

"Don't say more." Wang Guohua reminded.

"Master, I'm just telling the truth, sneaky, and I know it's not a good thing at a glance."

Wang Guohua's eyes were sharp, and he silently suppressed Wen Youren.

Luo Hao stood up, took a few paper cups and poured hot water for the directors, including Wen Youren.

"Teachers, drink some water first." Luo Hao smiled and reassured.

"Xiao Luo, do you know what kind of patient it is?" Director Li of the Department of Gastroenterology asked.

"I don't know." Luo Hao shook his head.

The short exchange came to an end, and Lin Yuming came back with two films, without a film bag, and I don't know where they were made.

"This is the film, let's take a look."

There was a film reader prepared in advance in the conference room, and Luo Hao plugged in the film and flashed it to the side, leaving the best position for others.

Normally, there will be the date the film was made, as well as the age and name, but this film is very weird, there is nothing but images.

Seeing the strangeness, everyone remained silent and devoted their energy to seeing a doctor.

A few seconds later, Wang Guohua clicked on the film reader with his hand, "Cancer is late, surgery is difficult to do, let's have chemotherapy first." ”

He said it with great certainty.

Several others nodded their heads as well.

The imaging is almost standard for advanced pancreatic cancer, except that there is no metastasis of other organs. However, high-density opacities near the pancreas suggest implant metastases and support the diagnosis of advanced cancer.

There was no doubt about the consultation, and soon the directors left, leaving only Luo Hao standing in front of the reader and still watching the film intently.

"Stupid by the x-rays." Lin Yuming said disdainfully, "Look at it!" ”

"Uncle, I said it might be benign, do you believe it?" Luo Hao asked.

“！！！”

Lin Yuming's eyes lit up, but then he shook his head, "You don't have to comfort me, this is not our family, and it has nothing to do with us." ”

"Uncle, I'm really not comforting you." Luo Hao said seriously, "But I have to look at the patient to give a diagnosis." ”

"Oh?! Are you serious? ”

"Well, watching the film is indeed an advanced stage of pancreatic cancer, but I always feel that the high-density shadows in some locations look strange." Luo Hao said.

"Strange?"

"Well, you can't arbitrarily think it's late cancer. Uncle, who the hell is it? I'm going to see the patient, take a medical history, and see if I want to go any further. ”

Lin Yuming walked to the door of the conference room, looked around, and saw that there was no one in the corridor, so he came back mysteriously.

"A few years ago, this person in charge of culture, education and health was an old leader. Later, I went to other positions, and it has been very smooth. Recently, there will be a change of office, and it is said that there is a possibility of rectification. Didn't you lose a few pounds recently, so I did a check-up and found out about it. ”

"Oh."

Luo Hao was not interested in whether the leader was not leading or not, he responded, "The secret is not mourning." ”

"That's a terrible thing to say."

"There is a high probability, the survival period is only half a year to a year, and it is not a bad thing to be in secret. Uncle, just ask, do you want to continue watching. If I'm okay and he's lucky, I'll take him to the imperial capital for a consultation. ”

"Xiaoluo, you tell the truth, it's really not too late for cancer?!"