"Where's Dr. Luo?" Lin Yuming asked the intern.

"Seeing patients in the emergency room, there are elderly patients whose blood pressure is gone......" The intern nagged, Lin Yuming didn't have the heart to listen, and strode directly into the emergency room.

Luo Hao stood by the rescue bed, staring at the values and graphs on the ECG monitoring, thinking about something.

"Dr. Luo." Lin Yuming said in a deep voice.

"Director Lin? What are you doing here. Luo Hao turned around and saw that it was Lin Yuming, "It's such a slippery road, it's not safe to drive, what are you doing here." ”

Although it is a complaint, it is full of concern between the lines.

Lin Yuming was relieved.

The child has grown up and knows that he is distressed, and he is not as ignorant as before.

Someone can handle chores, and they can be in the middle to command, and deal with things that need to be brushed, that's the best. In the past, Lin Yuming didn't have this kind of treatment.

Although the medical office does not need to be the most perfect, and it is okay to mess around, Lin Yuming knows that he is facing a fresh life, and he still has to do his best if he can.

If you are diligent, there may be a person who will be rescued, and you should only do good deeds for yourself and save some blessings for your son.

Although it is very non-materialistic to say this, the doctors and nurses are hanging by a breath of immortal qi, which is not materialistic in itself, and it is very metaphysical.

Now that Luo Hao is here, the emergency department is well organized, even if he sits in a hurry, he can't achieve this effect, Lin Yuming is quite satisfied with this.

Not bad

Very good!

Lin Yuming smiled.

He was a little apprehensive today, his heart was beating faster, and he always felt that something was happening. That's why I rushed over.

Seeing that Luo Hao handled the matter clearly, Lin Yuming felt that he was worried in vain.

"Director Lin, the orthopedic department is still busy, and then there is the intensive care unit, if only there were doctors on call at any time." Luo Hao comforted him and began to make demands.

Lin Yuming nodded, "I'll arrange it, what's going on with this patient?" ”

The patient's family was in the orthopedic department for a cast, but they were not there, and it was more convenient for Luo Hao to speak.

After a brief report of the medical history, Luo Hao continued, "I consider that the patient has aortic dissection and needs to do 64 scans of CT in the emergency department. ”

Lin Yuming looked at the energetic Luo Hao with mixed feelings.

If it weren't for his own nephew, if any of his staff members or even department directors dared to say this, Lin Yuming would definitely be a big fool.

Then he was carried and asked to look at the ground outside, in this case, how to find someone to work overtime?

Not to mention the initial diagnosis.

Lin Yuming frowned, "Is there any other way?" ”

Luo Hao also knew that it was dangerous to bring people from home to do 64-row CT in this weather, so he scratched his head, "Director Lin, I will also operate the machine." ”

“！！！” Lin Yuming was speechless.

Luo Hao's meaning is very simple, no one can do it, as long as he gives permission, he can do it.

As for qualifications, Luo Hao's intermediate certificate was made by Lin Yuming himself, and Lin Yuming was like a mirror in his heart.

"Director Lin, the patient's condition is critical and tricky, even if the diagnosis is clear, our mine manager will not be able to perform surgery."

"What then?" Lin Yuming asked.

"Shake people." Luo Hao naturally said, "I asked my senior brother to fly over to do it, if the diagnosis is correct, the patient needs to have elephant nose surgery, and we should not have done it." ”

!

Lin Yuming scolded directly.

Treating the sick and saving people is treating the sick and saving people, but there is no Luo Hao who treats the disease like this.

Elephant trunk surgery is a doctor's statement, and the official one is simpler, called elephant trunk surgery, also known as aortic arch replacement surgery.

Because the shape of the aortic arch resembles the trunk of an elephant, it is so named.

This surgery is one of the largest in cardiothoracic surgery, and is considered by the industry to be more difficult than almost all heart surgeries.

Not to mention the head of the mine, no one in the provincial capital dares to pat their chests and say that they can take it 100%.

Luo Hao wants to have elephant trunk surgery at the head of the mine?

What happens when a patient dies? Now that doctor-patient disputes are so much trouble, more things are better than less.

Lin Yuming had a lawsuit in his head, and his brain was buzzing.

"Director Lin."

Luo Hao continued when Lin Yuming was stunned, "The patient's condition is a little more stable now, I want to take him to do a lung CT first to see the situation." ”

Lin Yuming sighed.

As soon as he finished boasting that Luo Hao had grown up, he got himself a big thunder.

It's all about it.

Lin Yuming nodded, and Luo Hao began to recruit people to carry patients.

I called 4 male interns to follow, and the soldiers were strong, and there was no shortage of manpower in the emergency department at all, and they rushed all the way to the CT room.

On the way, Luo Hao leaned over to Lin Yuming and whispered, "Uncle, I feel that the patient is in critical condition with aortic dissection, and there is no way to transport him, so he can only ask a specialist to do the operation." ”

"Humph!" Lin Yuming snorted coldly and expressed his dissatisfaction with Luo Hao's "eventful".

"Uncle, my senior brother has a high success rate in this kind of surgery."

"Very high?" Lin Yuming grasped Luo Hao's "language disease", "Is it a 60 percent or 70 percent success rate?" ”

"Hey." Luo Hao heard Lin Yuming's dissatisfaction and did not continue.

Regardless of the success rate, the mortality rate of these procedures is far greater than that of other procedures.

In the 3.0 era of doctor-patient disputes, more things are better than less things, and Lin Yuming tends to be referred.

If you are kind-hearted, contact the higher-level hospital, and you will not waste time even if you are conscientious, so why bother to make trouble for yourself.

Luo Hao, this little thing, was blind and praised him for growing up and knowing how to feel sorry for people.

In the blink of an eye, this thing got itself in big trouble.

When he came to the CT room, Lin Yuming kept a gloomy face.

Luo Hao instructed the intern to lift and put the patient on the machine for examination.

After scanning, Lin Yuming squinted at the image.

After all, he is one of the first batch of doctors in China to graduate from imaging majors, and he has rich clinical experience.

Lin Yuming smiled as soon as he glanced at him, Luo Hao, a dog, even had a time when he made a diagnosis mistake.

"Luo Hao, how did you diagnose aortic dissection?" Lin Yuming said easily, "Anyway, I didn't see an image of aortic dissection, come on, you teach me." ”

The patient's CT was clear with pericardial effusion, right-sided pleural effusion, right-sided obstructive pneumonia, and atelectasis.

Although CT of the lungs is not diagnostic of aortic dissection, experienced doctors can always find some clues in the CT scan of the lungs. (Note)

The CT of the lungs of the patients who were said by Luo Hao to die without elephant nose surgery is not a big problem, and the main symptomatic treatment can be done first.

Lin Yuming does not believe that the patient has aortic dissection.

"Uncle, CT of the lungs can't confirm the diagnosis, why don't you discuss it with the director of the CT room? Turn on to do 64 rows? Aortic dissection can not be delayed, and if it is an operation, you have to ask someone to fly, a few hours in advance. Luo Hao licked his face and said with a grin.

At this time, Luo Hao was extremely humble, and he didn't look like a sunny and upright young man at all.

He is like an old fritter in society, although his attitude is humble and his words are soft, Lin Yuming is sure that as long as he doesn't do what he says, Luo Hao may even roll on the ground and pretend to be dead.

I will not give up until I achieve my goal.

Who did you learn this from? Lin Yuming was helpless.

"Uncle, I have three ......" Luo Hao saw that Lin Yuming didn't speak, so he continued to pout.

"Get out!" Lin Yuming couldn't contain the anger in his heart, and scolded, "The three ways of bullshit, who do you think you are." ”

Only giving one plan, and failing in the end, is the responsibility of the planner.

But if you give three plans and fail in the end, it is the responsibility of the person who chooses the plan.

The slippery and secretive practice in the book actually appeared on Luo Hao, which Lin Yuming didn't expect.

This kid is growing up so fast, Lin Yuming found a point to praise Luo Hao for the first time.

After all, it's your own child, so you have to praise it.

"Uncle, I still have to do a 64-slice aortic CT." Luo Hao said respectfully.

Although his expression was respectful, his tone was extremely firm, soft and hard, even if the ordinary CT had been finalized without any problems.

"Luo Hao, it's too much!" Lin Yuming said sternly.

"It's a trivial matter to do one more test, and I'll talk to the patient's family." Luo Hao said with a dead face, "But once you are negligent, the patient who could have been treated suddenly dies, I'm not worried that you will be in trouble." ”

"Don't tell you, I know it's nothing good as soon as I talk about you." Lin Yu reprimanded, "The image is here, you tell me where there is an aortic dissection?!" ”

Luo Hao was silent in the face of Lin Yuming's questioning.

But he didn't give up, and prayed with his eyes.

I can't stand it...... Lin Yuming looked at Luo Hao's resentful and pleading eyes, and couldn't bear it.

For a moment, Lin Yuming thought of Luo Hao's father, his deceased old friend.

The two of them have a temper, it's really special! Lin Yuming scolded in his heart.

"Uncle, just this time, if there is no aortic dissection, what will you say in the future." Luo Hao pleaded in a low voice.

"If there is, I'll eat the piece."

"Don't mind, it's hard to digest." Luo Hao heard a glimmer of light, and hurriedly said, "Then I thank you for the patient." ”

"Patient?"

"No, no, no, I thank you."

Lin Yuming was really helpless.

Maybe Luo Hao is still in the rebellious period, forget it, just do it if you want to.

Lin Yuming calmly went to call the director of the CT room.

Although the Medical Service is a superior department, there is still due respect.

Moreover, the person who operated the machine this time was not a professional doctor in the CT room, and many troubles were no less than having an elephant trunk surgery.

As long as people are involved, everything is not so simple.

After half an hour of contact, Lin Yuming "convinced" the director of the CT room to open the door of the 64th row CT room.

The machine buzzed and began to run, and Luo Hao was both a doctor and a nurse, communicating with the patient's family, burying needles for the patient, creating a contrast agent, and doing examinations.

Looking at Luo Hao, who was shouldering all the work, Lin Yuming's emotions were even more complicated.

Luo Hao is really capable, but he is a little too capable, always looking for trouble.

Before the film came out, Lin Yuming said earnestly, "Xiaoluo, the county hospital in Libo County below was smashed yesterday, do you know." ”

"Why?"

"A patient who drank alcohol after taking antibiotics and had acute allergies was not rescued in a small clinic and was sent to the county hospital. Tracheotomy, a rescue, and finally the person died. ”

Luo Hao concentrated on operating the machine, and chatted with Lin Yuming "by the way".

"This is quite a normal thing, and the patient's family is unwilling? What's so funny about this, taking antibiotics and drinking alcohol, isn't this looking for death? Luo Hao asked.

"The family reported to the Health Commission, saying that a minor illness was sent to the hospital, but the doctor made a mistake and cut the trachea." Lin Yuming used an example to warn Luo Hao.

“！！！”

"I admit that the vast majority of people are good, and they understand the healthcare workers. But you imagine a scenario - as long as you are dissatisfied and complain, you can have a profit, at least you will be exempted from the cost of the hospital, and at most you will have tens of thousands, hundreds of thousands, hundreds of thousands, hundreds of thousands of compensation. ”

"What do you think? Will it be exciting? Lin Yuming asked.

"I'm not short of money." Luo Hao stared at the machine screen and said casually.

"Smack~"

Lin Yuming slapped Luo Hao on the back of the head.

"Uncle, it's easy to beat people stupid here." Luo Hao covered the back of his head and complained.

"Be serious, this situation is likely to happen in your future work."

"That can't be helped." Luo Hao said helplessly, and glanced at the luck value by the way.

I really want to add any attributes, physical strength, spirit, and luck.

The stat points given by the system are completely insufficient.

If he can, Luo Hao will fill all the attribute points.

With such a high luck bonus escort, he should not meet the unreasonable patient's family, Luo Hao pondered in his heart.

"More is better than less, even if you want to fulfill the responsibility of a doctor, it depends on the situation."

"This patient's family seems to be quite reasonable, uncle, don't worry, I know it."

Lin Yuming's persuasion was once again pushed back by Luo Hao.

Dog thing, let the facts educate him. Reason with him himself, and say that Luo Hao has ten sentences waiting.

Lin Yuming decided to speak with facts.

And the first fact is that Luo Hao made a mistake in diagnosis.

Seeing the ghost of aortic dissection, Lin Yuming made up his mind and looked at the ordinary CT image again.

Based on his years of clinical experience, the patient did not have aortic dissection.

Seeing what he said when the film came out, Lin Yuming thought viciously in his heart.

"Uncle, there's a problem!"

Luo Hao's voice interrupted Lin Yuming's train of thought.

"Questions? Where? Lin Yuming looked at the screen of the 64-row aortogram.

"Here." Luo Hao's hand clicked on the screen, "The ascending aorta has just come out of the heart, and there is an aortic dissection aneurysm!" Ordinary CT can't be seen, but it can only be seen in 64 rows. ”

Lin Yuming looked at Luo Hao's finger in a daze.

Sure enough, there was an image of a less typical aortic dissection aneurysm.

It really is!

Lin Yuming was not ashamed of his previous words, in front of his nephew, what he said was a fart, and Luo Hao's kid could still laugh at himself.

When he saw the aortic hemangiomast, Lin Yuming felt that his hand was a little numb.

Tricky patients.

There are several types of aortic dissection, type 1 is the most difficult to deal with, unlike other types, there is a high probability that it can be done with a large shelf, and the vascular department can do it.

The patient in front of him is the most difficult type of type 1 aortic dissection.

As soon as the blood vessel leaves the heart, a dissection appears, and even if surgery is required, the difficulty of the operation will skyrocket.

Luo Hao got himself into big trouble.

Lin Yuming even had a little gloom in his heart, it was better not to find out this kind of patient than not to find out.

If it cannot be detected, the patient dies suddenly, but there is a possibility of medical disputes.

But find out...... So what?

Elephant trunk surgery?

Not to mention the current mine president, the mine manager in the heyday of the year couldn't do it.

Not to mention the general mine, what about the several hospitals in the provincial capital? Elephant trunk surgery is not routine surgery for them.

Explain the truth to the family, and it is easy to say that you are reasonable, but if you encounter that kind of hypocrisy, the probability of medical accidents and medical disputes will immediately increase to more than 80%.

Just when Lin Yuming was stunned, he suddenly heard Luo Hao's voice coming.

"It's me, your father-in-law."

"Seriously, who is the teacher in your hospital who has the highest success rate of elephant trunk surgery?"

"Harm, I don't change my original intention, I used to be called a teacher, and now I still call me a teacher. Unlike you, who used to call me my father-in-law, now that I'm the deputy director, I want to change my mind. ”

What is this, Lin Yuming listened to the dew.

"I have a type 1 patient here, and the imaging data will be passed to you later, and the patient's condition is not very good, and he needs to hurry up and have surgery, the sooner the better."

"Teacher Han, I'm not embarrassed to trouble him. When I thought of looking for you, I would like to ask Mr. Han. ”

"It's hanging."

With that, Luo Hao hung up the phone.

"Who are you contacting?" Lin Yuming asked.

"An Zhen's Choi Myung-woo Director Choi."

!

Luo Hao and An Zhen's director are both father-in-law and son-in-law communicating like this? Recalling Luo Hao's words just now, Lin Yuming's hands became even more numb.

"Uncle."

Luo Hao leaned over to Lin Yuming and asked in a whisper.

"What's bad to hold back, just say it if you have something to say." Lin Yuming had a bad premonition.

"The patient is in critical condition and has to prepare at least 20 units of red blood cells and 1,500 ml of plasma for aortic arch replacement. As for platelets or something, it's best to have them. ”

Knowing that Luo Hao didn't hold back his fart, Lin Yuming glared at Luo Hao viciously.

"I contact the experts, and I communicate with the patients' families, and these are all minor problems. But there are some big problems that you have to do in person, uncle, you see......"

As soon as Lin Yuming heard Luo Hao call himself "you", he had a headache again and again.

……

……

"Comrade, I am Wen Youren, director of the Department of General Surgery of the General Mine Hospital, and I report Lin Yuming, the director of the medical department, and Luo Hao, the director of the medical department, with my real name."

Wen Youren came to the destination with a heavy amount of information.

After entering the house, he couldn't wait to warm up and explain the purpose directly.

Wen Youren is familiar with this, because he has done it before.

Many years ago, an old director who was as famous as Wang Guohua looked down on Wen Youren, and Wen Youren held a grudge against him.

After retiring, the old director did not return to the general mine, but went to a private hospital and used his technical level and connections to attract many patients.

The anesthesiologist in a private hospital is served by his lover, who does not have the scope of practice as an anesthesiologist.

This is Wen Youren's breakthrough, he patiently collected information on dozens of surgeries, and finally reported it with his real name, completely knocking the old director who offended him to the ground and stepping on it a few times.

In Wen Youren's view, the old director was rampant and domineering, and went to a private hospital to let his lover do anesthesia for a higher income, which violated medical principles.

I am on the side of justice.

This is as if it were at that moment.

For his own selfish interests, Luo Hao overused the medication and gave the patient iodized oil that could be put into the blood that was not written in the instructions.

This is the pest of the medical world! Moth! It has to be cleaned up.

In the thick information, there are instructions for iodized oil, surgical records and medication records of Luo Hao's surgery, all of which are readily available.

Wen Youren has collected these materials for a long time, and he has not shown his feet, just for today's thunderous blow.

Real-name reporting, even if someone wants Paul Hao, he can't keep it!

Wen Youren hugged the materials with a smile on his face.

It's just that his cheeks are frozen, and his imaginary smile is a little hideous, like a hungry wolf in winter.

……

……

Luo Hao's phone rang.

The answer to the phone was from a nurse in the emergency department.

The patient reported the critical value, and the reason why it was delayed was that the laboratory department felt that the value was too outrageous, so it did a re-examination and delayed the time.

Hemoglobin 38g!

Before the surgery, a blood transfusion is required.

This time, not only Lin Yuming, but even Luo Hao felt a headache.

Hemoglobin must be replenished to at least 70 or more before surgery, Luo Hao scratched his head.

"I'm going to talk to the patient's family." Luo Hao sighed.

I want to toss, and I can't blame others.

The patient's family did have a fracture, and he sat in the emergency room in front of him with a plaster cast, waiting worriedly.

Luo Hao called him out when he came back.

"That's the case with your mother." Luo Hao first briefly talked about the patient's situation, and then said, "Now the hemoglobin is too low, and blood transfusion is needed." ”

After hearing about the blood transfusion, the eyes of the patient's family lit up.

"Doctor, I have 12 blood transfusion certificates!" The patient's family said, "You can have a free blood transfusion!" That's not a problem. ”

Gan!

Luo Hao cursed a dirty word in his heart.

Is it that simple? Joke.

But the more this happens, the more difficult it is to explain it to the patient's family.

Luo Hao watched the progress of the system task move forward little by little, isn't it good to lie down and win? Why treat a patient with such difficulty?

The thought flashed in Luo Hao's heart, and then dissipated.

If there is a glimmer of life for the patient, it must be tied to himself.

The whole mine can always invite people who can do such a difficult elephant nose surgery in a short time, and only themselves.

Forget it, Luo Hao sighed deeply.

"That's right." Luo Hao explained.

……

Note: Speaking of which, I still have to wail.

On duty the other day, another patient vomited blood. Emergency treatment, the director from home to the center of contact, and the Department of Gastroenterology to communicate at any time on the stage banding to stop bleeding.

After the patient's condition stabilized, he smoked and chatted with the director, and the director said that 80% of the patients in Corey vomited blood and rushed to my shift.

Shrug your shoulders, spread your hands, and look at the sky.

No way, this is metaphysics.

When I was in thoracic surgery, in 15 years, I took care of 8 patients with rib fractures complicated by aortic dissection.

This rare complication is about the same as death, and I have not seen sudden death in other patients with rib fractures, so it is basically certain.

However, I have diagnosed all 8 patients, and I rely on ordinary CT.

One of the cases was not obvious, I brushed my face in the middle of the night and asked my most trusted CT doctor to come to the consultation and watch the film before getting a confirmed diagnosis.

I really can't help it, maybe after I retire, we will have fewer emergency rooms in our hospital.

Remnants.