53 Diagnostic Auxiliary AI, Shine Debut

Luo Hao fastened his seat belt, turned on the night light, and slammed the accelerator.

"The throttle of your broken car is quite loud, burn the engine oil." Chen Yong couldn't help but sneer.

"I'm in good boat." Luo Hao started, shifted gears, and drove steadily all the way 60 miles in the night of Donglian City.

"You just said what happened to my master."

"I don't know, I haven't heard anyone say it, just guess." Luo Hao concentrated on driving, and said casually, "When your master first came, he was young and vigorous, and he offended Director Wen Youren Wen. ”

Later, he was left out in the cold for a few years, of course, it was not the kind of offense that jumped into the well with the children of Wen Youren's family. Wen Youren is very stingy, maybe he will hold a grudge against a trivial matter. ”

Master Ling later figured out that if the director didn't perform surgery, he would have no chance to grow. What if you see more, you say yes. ”

"Didn't you just say giving gifts?" Chen Yong asked rhetorically.

"This is not to send, I want to improve the relationship through filial piety, I tell you, it is useless."

Chen Yong looked down through the light of the street lamp, and this one was listed as the second by the master, and what he said was not much different from what Luo Hao said.

!!!

Hell yes!

Chen Yong wondered, how could Luo Hao look like he had seen it with his own eyes? And I can also know the master's mental journey.

"I think there is a high probability that when your master gives a gift, Director Wen will refuse righteously and solemnly, coupled with the criticism of sanctimoniousness.

Because of gratitude, you can build a relationship and shorten the distance, but you can't reverse the relationship, and you really want to turn over...... It depends on the person. ”

"My master is very powerful!"

"I think so too, but he wasn't very lucky before and met Wen Youren. And he earned money a few months earlier. If you stay until now, you might have a good chance. ”

"Wen Youren is just supporting, not retiring."

Chen Yong saw Luo Hao's determined look between his words, and he was even more unconvinced, thinking that Luo Hao was too capable of pretending, so he couldn't help but ridicule him.

"The department has to select a new deputy director to preside over the work, in fact, your master is a very good candidate. If he's still in the department, I think I'll push it. At this point, the opinion of the Medical Service is not important, but the opinion of Director Lam and I is. ”

Chen Yong found the language problem and was about to sneer at him, but when the words were about to come out, he suddenly held back.

Don't really say it, now Luo Hao, Dean Li, and Secretary Sun are talking about something, especially recommending the personnel arrangements after Wen Youren leaves, those two will give some face.

After all, Chai Lao traveled thousands of miles to endorse Luo Hao, and if he took advantage of this situation, it didn't seem to be much difficult.

And that's not all.

Chai Lao has a deep affection for Luo Hao.

The person who picked up the airport had the leaders of the city, but there was no leader of the mine general, and the meaning of this even Chen Yong, a stunned young man who did not use his energy on human affairs, understood it.

Chen Yong carefully looked at the clever plan left by the master for himself, which read-There are hard injuries and contradictions, and I will not send them.

Luo Hao seems to be right.

"However, I shouldn't be able to help, so assuming that your master is here, if you mention a deputy director in charge of clinical work this time, he will be choked enough."

"How?"

Chen Yong seemed to understand something.

"The level is enough to preside over clinical work, and there are not many people who do some emergency surgeries, but there are also a lot, and there are at least 2 people counting your master."

"Your master is from the grassroots, and the university is a little worse, so there is no path at all.

For example, his competitors are relatives of big leaders, or children of a big guy in the circle......"

Speaking of this, Luo Hao smiled.

"You students don't have a good thing." Chen Yong was disdainful.

"I relied on my ability to be admitted to the Concord eight-year bachelor's, master's and doctoral programs, is it good!"

That's true.

Thinking of the college entrance examination and the third year of high school, Chen Yong was a little dazed.

He wanted to turn back time and go back to the days when he was still struggling in high school. If you can, you must have your head hanging over the beam, cone and stabbing stocks, and you must also be admitted to Concord, and you must not let Luo Hao be so arrogant!

Perhaps, the college entrance examination is the only chance in many people's lives to change their fate.

It's a pity that I missed it.

"In this case, your master will be blind, even if he does the surgery better than others, his heart is finer than others, and he treats the patient like a kiss, it is useless.

Because the order of relational science must be - the existing relationship fight does not exist; The bucket that exists is not straight; Those who are directly in charge cannot fight for power.

So, ah, the economic base still has to give way to the superstructure. ”

"Luo Hao, did anyone say that you are greasy?" Chen Yong suddenly asked.

"No, the old people like me and say I'm refreshing and sunny." Luo Hao stated a fact.

Chen Yong didn't know how to refute this if he wanted to.

Not to mention how hard the old man who flew over today, Luo Hao seemed to have expected him to come, and prepared the latest Geely fishing vehicle, as well as phased array radar, air cannon, and professional equipment for winter fishing......

With money, you can really do whatever you want, Chen Yong blames all this on having money.

He lowered his head and saw that Master's trick was written - if there is a hard relationship in the way, it will not be sent.

It seems that this is what Luo Hao said.

"One more thing, your master has no way." Luo Hao continued, "It's not impossible to hug on the battlefield, but it's best not to do it. Blocking at the door of the house and going to the office to send it is all a stunned practice. ”

"What if you were to change it?" Chen Yong asked.

"My brother and I ran a knife and went to a hospital. After the surgery, the patient was sent to the ICU for observation for three days. I pushed the patients in, trying to explain a few words to their doctors. ”

"I happened to see the director of the ICU crying and running out, so I asked, saying that their director was going to the dean's office to cry."

"Huh?!" Chen Yong was most afraid of women crying, and he subconsciously judged that Luo Hao said that the director of the ICU was a female director, and his heart softened in an instant.

"I talked to the doctor on duty and got an idea of what was going on. This director was not a serious professional, because there was no way to promote the director in the original department, so he was transferred over as soon as the ICU was established, and the level was raised first. ”

"The level is very average, there are many things, and the doctors and nurses below and the head nurse are not convinced by her. But she has a unique skill, she goes to the dean's office to cry whenever she encounters something. ”

"Isn't that annoying?" Chen Yong frowned.

"I hate it, I really hate it, but the leader of the hospital likes the feeling of being on top, I can't describe it in detail, that's about what it means. So as long as she cries, there will always be a gain. ”

"......" Chen Yong was speechless.

"Your master's face is too thin-skinned, he will definitely not do such a thing. Not to mention going to the dean to cry, even if you report to the work as the responsible attending doctor, your master will not do it. ”

Luo Hao's every sentence hit the nail on the head.

It was as if he had been paying attention to Jiang Wenming every day and had been paying attention to it for many years.

"Some things rely on understanding, except for coaxing girls to be happy, it seems that other aspects of understanding are a little worse. One of the reasons why your master made eighteen turns for you to ask me is that I hope you will be more tactful in the future. ”

"How do you speak, it's good that I have high emotional intelligence." Chen Yong looked at Luo Hao unhappily.

"Let's go home."

While the two were chatting, they had already come downstairs to Chen Yong's house.

Luo Hao looked sideways at Chen Yong, "Let's raise the amount of surgery first, we are doctors, and food is the original sin." With the ability, the other upper hearts should naturally have. ”

“!!!”

Chen Yong clenched his hands into fists, very energetic.

Watching this thing bouncing away, with nowhere to vent his energy, Luo Hao smiled slightly.

I hope Chen Yong won't let himself down.

The number of places in the medical team is limited, and with Chen Yong included, it would be better for him to complete the corresponding number of surgeries.

Otherwise, it's a waste and a crime.

Sitting alone in the car, Luo Hao didn't leave in a hurry, but took out his mobile phone to contact Director Gu.

wanted to accompany Boss Chai, but he didn't even see Director Gu's face, Luo Hao was a little embarrassed.

And also to ask about the operation, otherwise Luo Hao will not know what to see when he goes to the ICU to see the patient.

Director Gu had already boarded the plane, and the mobile phone was about to be turned off, and after chatting a few words in a hurry, Luo Hao was relieved to know that the operation was successful and the patient should be fine.

He sighed.

It is definitely a good thing that the patient can live, and he has donated 1200ml of blood in vain.

There was a slight flickering light in the upper right corner of the field of vision, which Luo Hao hadn't noticed before.

At this time, Luo Hao took a look and found that he didn't know when the diagnostic auxiliary AI fragments had been collected, and the system prompted synthesis.

Together?!

Luo Hao was surprised.

Looking through the records, Luo Hao learned that the moment Director Gu finished the elephant trunk surgery, the system rewarded a large number of experience points and diagnostic assistance AI fragments.

I accompanied the boss of Chai to fish and skewer, and I didn't notice the prompts of the system.

Luo Hao was overjoyed.

At that time, the system did not remind me of the benefits of the patient's treatment, but he even donated blood belts to find the top surgeon in China to operate, and completed the hidden task by mistake.

What's more, Director Gu didn't just come by himself, he brought a whole team.

This team represents the top surgical level of cardiothoracic surgery in China, as well as the level of postoperative care and treatment.

So the system also gives a fairly high evaluation, so much so that it can synthesize an auxiliary diagnostic AI.

Unexpected joy, but also reasonable.

Luo Hao did not hesitate and clicked on synthesis.

All the hard-earned fragments turned into a white light and dissipated into the void.

Luo Hao only felt a warm current flowing through his limbs, but he didn't find the panel for diagnosis.

It's weird, Luo Hao doesn't care about it, the system is quite reliable, and it is estimated that there will be prompts when he meets a patient.

After the entertainment ended, Luo Hao was a little tired, but he did not go home to rest, but returned to the hospital and went directly to the ICU.

When he came to the ICU, Luo Hao saw a female doctor wearing a dark blue isolation gown and a small flower hat sitting in front of the center console, staring at the screen with her eyes meticulous.

She was about 35 years old and looked shrewd and capable.

"Sister Zou!" Luo Hao greeted and walked over quickly.

The female doctor looked sideways at the voice and smiled slightly, "Dr. Luo, you are here to be a great man, and you are not welcome, it is really not easy to meet you." ”

Luo Hao laughed twice.

"Director Gu left me behind to take care of the patient for two days." Dr. Zou stretched out his hand and shook Luo Hao's hand, "We haven't seen each other for a few years?" ”

"Three years and five months." Luo Hao said with certainty, "At that time, the director and I went to attend a consultation, and our sisters met. ”

"It's rare that you have the heart to remember it so clearly."

"Sister Zou reported her medical history, and I was very touched at that time." Luo Hao's memories are plain, but every sentence makes Dr. Zou very comfortable.

Dr. Zou's face was originally as serious as ice and snow, but as Luo Hao's memories gradually melted.

"Sister Zou, how is the patient?"

"It's fine." Dr. Zou smiled, "Originally, I was scheduled to stay for three days, but now I can get rich for one day depending on the situation, and you can take me to play at that time." ”

"Okay, if it snows, I'll drive you to the snow country. If it doesn't snow, let's go to the river and sit on the plow. ”

"Climbing the plow?" Dr. Zou asked.

Luo Hao then drew a picture to explain to Dr. Zou.

The phone rang, it was Dr. Zou's. She took out her mobile phone and said apologetically, "I'll pick up the phone at home, Dr. Luo, wait a minute." ”

"You're busy."

Luo Hao began to look through the electronic medical records.

Director Gu brought from 912 to bring excellent quality of critical personnel, although as a guest secretary, but every record is detailed and appropriate, standard Class A medical record template.

What Luo Haogang said is definitely not a lie, it is precisely because of sincerity that it will make people feel good.

No one is stupid, and the clinical front-line staff are not stupid and shrewd, but they have a little more dedication personality.

Luo Hao first looked at the operation record, and then read it in chronological order.

Yes, the patient recovers very quickly, it is estimated that spontaneous breathing can be restored in 36-48 hours, and then we can be weaned within 12 hours if the condition is stable.

After getting off the ventilator, the patient can say that he is half better, and the treatment has seen the light of day.

Dr. Zou didn't come back for a long time, and Luo Hao glanced at the medical records and went to see the patient's drainage.

The drainage fluid is pale red, and it is less than 300ml after the operation, so the surgery is really good.

Director Gu is worthy of being one of the top three surgeons in cardiothoracic surgery in the country.

When Luo Hao squatted on the ground to look at the drainage bottle, Dr. Zou came back.

"Sister Zou, the ...... surgery"

Luo Hao said half a sentence and stopped abruptly.

Dr. Zou's eyes were red, as if he had just cried.

Uh, what's going on?

Doctors and nurses in intensive care units have a particularly high divorce rate because they simply don't have time to care for their families.

This thought immediately popped into Luo Hao's mind.

"Sister Zou, what's wrong?"

"It's fine." Dr. Zou choked up, "The patient is in stable condition, and the last time he ......"

She began to "debrief" on the most recent test sheet.

All the data is clear in the chest, and you don't have to recite it directly without going through your brain. But as he spoke, Dr. Zou's tears flowed.

"Sister Zou, sit down and sit down." Luo Hao hurriedly pulled Dr. Zou to sit down, "Is there something going on at home?" ”

Dr. Zou wiped away his tears, stayed for a minute, and said softly, "My grandfather has terminal lung cancer. ”

!!!!

Luo Hao was stunned.

Looking at Dr. Zou's appearance, it should be an emergency, not like a psychological expectation.

If she had known that she had relatives with cancer at home who might die at any time, Director Gu would not have brought her here and kept her to see the patient.

Late ...... of cancer

Luo Hao also knows that some cancers are found to be terminal, this is fate, there is no way.

"There are no signs at all, it shouldn't be." Dr. Zou whispered with red eyes.

She seemed to be chatting with Luo Hao, and she seemed to be talking to herself.

Luo Hao listened quietly.

At this time, it is useless to say anything, just be a good listener.

"He has had some coughs recently, but it's not serious, and everyone has problems with old and slow branches, especially in winter."

"Today is a normal physical examination, and I have arranged it to come here with Director Gu. Who would have thought that it was found that it was too late to find out that it was cancer, and it was only checked half a year ago, and there was nothing wrong. ”

Dr. Zou was blaming herself, she was blaming herself, and she looked remorseful.

The diagnosis of cancer, especially the determination of a treatment plan, is a relatively long process.

In addition, there were no signs or news before, and now it is suddenly said that lung cancer is in an advanced stage, and it should not be the final diagnosis.

Luo Hao was a little strange, but after thinking about it, Dr. Zou was an intensive care doctor in 912, and her grandfather must have taken the 912 outpatient clinic for physical examinations twice a year.

Video ......

"Sister Zou, can I look at the films?" Luo Hao asked.

Although he was asking, his tone was firm, as if a senior doctor was asking a junior doctor for a patient's imaging data.

Dr. Zou was stunned for a moment, took out his mobile phone, turned on the cloud and handed it to Luo Hao.

Ordinary CT can show a large space-occupying lesion at the hilum of the right lung, and both lungs are scattered in multiple places.

But this is only the most cursory examination.

In just one day, almost all the relevant follow-up examinations were completed, including bone scans and tracheoscopy.

Bone scans showed suspected bone metastases in the sternum, ribs, and lumbar vertebrae, and tracheoscopy clearly showed that the new cauliflower tissue in the trachea had blocked two-thirds of the right hilum.

Luo Hao looked at the film, his hands were a little cold.

Dr. Zou's grandfather is a typical image of advanced lung cancer complicated by metastases to multiple organs throughout the body, and there are almost no accidents.

After reading it, just when Luo Hao was about to return the phone to Dr. Zou, a diagnosis suddenly appeared on the system panel.

[Preliminary diagnosis: lung space-occupying lesions.] 】

Gan!

Luo Hao scolded his mother in his heart, and even the system has learned to shirk responsibility these years.

Is it hard to diagnose lung cancer?

It is necessary to say vaguely that it is a space-occupying lesion.

The fragments that have been accumulated for so long have finally been synthesized into a waste?

Luo Hao was thinking about it, and suddenly saw the drop-down bar.

With a move of his mind, he pulled the drop-down strip, and the content behind it appeared in front of Luo Hao's eyes.

[Differential diagnosis: 1. Basketella marnefi infection; 2. Anti-interferon-γ autoantibody-mediated immunodeficiency in adults, 3......]

Luo Hao fell into deep thought.

The differential diagnosis has never been done before.

Mass lesions are not cancers, but a general term.

It's just that cancer is the most common in clinical practice, so when he saw the five words space-occupying lesions, Luo Hao's first thought was cancer.

And the diagnosis of T. marnefi is a bit interesting.

This class of bacteria is mainly distributed in Myanmar, Shupu Village, southern China, Indonesia, Laos, Malaysia, Thailand and Vietnam.

It is an intracellular parasite that mainly invades the mononuclear macrophage system, invades the body when the immune system is low, and multiplies in the lung, liver, intestinal lymphoid tissue, lymph nodes and spleen, causing fatal systemic infection.

The clinical manifestations are cough, fever, chest pain, with lymph node, liver and splenomegaly, etc.

The main host is the bamboo rat.

Generally speaking, people who have eaten bamboo rats are more likely to get this disease.

"Sister Zou, does your grandfather eat bamboo rats?" Luo Hao asked.

Dr. Zou was stunned for a moment, forgetting to wipe his tears, and two lines of tears flowed down the corners of his eyes.

"Bamboo rats? Do you suspect it's Basketella Marnefi?! ”

Dr. Zou hesitated for a moment and then became happy, and her words were full of joy.

She is an intensive care doctor, and she is like a mountain, and she didn't expect that Galleria marnefi is also normal, Luo Hao doesn't think it's strange.

If I hadn't had a system prompt, I wouldn't have thought of this.

"Do the old people eat bamboo rats?"

"I've eaten, he's a southerner, he used to eat it when he was a kid, and he occasionally eats it now." Dr. Zou immediately took back his phone and started making calls.

Luo Hao looked deeply at the diagnostic assistance AI in the system panel, this thing seems to be a bit useful.

Dr. Zou contacted for a long time, and came back with a cloudy expression.

"Sister Zou, how is it?"

"The tracheoscopy done by the deputy director of the respiratory department said that it did not look like a malignant tumor under the microscope, and the puncture specimen was sent to the pathology department."

"The pathology department has already made a specimen, and if you want to see it, you will have to see it tomorrow."

"Dr. Luo, do you think it's a Basket Malnefe infection?"

"It's very likely." Luo Hao said seriously, "At the very least, it can't be directly considered as advanced lung cancer." Sister Zou, your mood swings are too great, go and rest, I'll help you watch tonight. ”

That's a bit of a weird thing to say.

The patient is the general manager of the mine, and Dr. Zou belongs to help, why did he help her watch it himself, Luo Hao just wanted to correct it, and Dr. Zou smiled.

"No, I'm relieved." Dr. Zou said, "Just now I suddenly knew that something was wrong with my grandfather, and the whole person was in chaos. I just reviewed my medical history and I don't think it's very likely that lung cancer is in the advanced stage. ”

Dr. Zou began to fold his fingers to state his opinion, as if he were reporting during a hospital-wide consultation.

She started with the slow progression of cancer in the elderly, and worked her way up to bamboo rats. The more he spoke, the more confident he became, and his words gradually became firmer.

After more than ten minutes, Dr. Zou's mood calmed down.

"Thanks, Dr. Law." After Dr. Zou finished explaining the reason, she was a little more energetic, and she thanked her, "You go and rest, I heard that you donated 1200ml of blood to the patient, and panda blood is really not easy." ”

"With me on this side, don't worry." Dr. Zou is confident, "Within 3 days, the patient will definitely be weaned. ”

Seeing that Dr. Zou was better, Luo Hao chatted with her for a while before leaving.

There are no pathological results, and it is useless to say anything.

He just asked Dr. Zou to check the old man's β-D-glucan again to determine if it was caused by a fungal infection.

……

Director Gu learned about this as soon as he got off the plane.

People, he arranged to stay in Donglian City, and Director Gu has to be responsible for anything at home.

This is the most basic.

If he is lazy and irresponsible, who will be willing to do it with him in the future.

Even if this matter has nothing to do with him, Director Gu has to take care of it.

Director Gu went home to rest for one night, came to the hospital early the next morning, and went directly to the pathology department to watch the director of the pathology department look at the specimens under the mirror.

"Director Gu, there's nothing wrong under the mirror."

The director of the pathology department looked at it for ten minutes, then raised his head, took off his glasses and said affirmatively.

"Are you alright?" Director Gu was stunned for a moment, "I watched the film, a typical manifestation of advanced lung cancer, and there is no chance of surgery." ”

(End of chapter)