"Speaking of Chen Yong, when you were in school, did you still feel that your mind was blank after learning things? Can't answer such a simple question? Luo Hao asked.

Chen Yong knew that Luo Hao must not want to speak well, but remembering Master Jiang Wenming's advice, he still nodded reluctantly.

"Later, you took apart the large pieces of knowledge, and in the words of the teacher at the time, you broke them and crumpled them."

"yes, that's wrong." Chen Yong asked confidently.

"The reason why you don't know anything is because the molecule of knowledge is too big to pass through the blood-brain barrier, so your mind is blank after you finish learning." Luo Hao sneered.

Luo Hao didn't even notice that he was a little bitter when he talked to Chen Yong.

"Huh?" Chen Yong was stunned.

Because what Luo Hao said was too professional, Chen Yong believed it for a moment.

Without waiting for him to react, Luo Hao continued, "If it is broken and crushed, it can pass through the blood-brain barrier, but unfortunately because the molecular diameter of the knowledge point is too small, it is all filtered away by the glomeruli and urinated out." ”

"!" Chen Yong finally knew that Luo Hao was hurting himself, and scolded angrily.

"If you ask such a simple question, you can't answer it, and you're not happy, so you can't make a face." Luo Hao said disdainfully.

"Then you say, let me tell you, if your answer is a brain teaser, don't blame me for turning my face." Chen Yong said stiffly at Luo Hao's gaze.

Luo Hao's question just now was a brain teaser, Chen Yong was sure.

The answer to this kind of question is nonsense, and it's good to tell it to girls. As soon as he thought of the girl, Chen Yong began to feel heartbroken, wanting to hear Luo Hao's answer.

He turned on his heyday, ready to reproduce every word Luo Hao said, and he would not miss even the punctuation.

"Mechanically gated access at the tip of the short cilia." Luo Hao said lightly.

"What?" Chen Yong was stunned.

A mechanically gated channel at the tip of the short cilia?

What the hell is that!

"Luo Hao, you lied to me!" Chen Yong raised his fist in anger.

"The little frog hears these seven knocks, and the sound waves pass through the sound collection of the middle ear → the inner ear, which involves the cochlear sensory transducer.

Auditory receptors are located in the basement membrane: at rest, the hair cell resting potential is about -80 mV.

When the basement membrane vibrates the short cilia to the long cilia side, the "mechanically gated channel at the tip of the short cilia" opens, causing K+ influx to depolarize the membrane, and the change of membrane potential causes the opening of voltage-gated calcium channels at the bottom of the hair cells, triggering transmitter release.

At the same time, it also activates calcium-activated potassium channels at the base of hair cells, causing K+ efflux and returning the membrane potential to resting potential levels.

This is the mechanism by which the hair cells and vestibular organs within the cochlea, all hair cells, produce receptor potentials. ”

"The first segment + auditory receptors are excited, generating auditory nerve action potentials, which then transmit information to the auditory center to produce hearing. Then the frog can react subsequently, so the correct answer should be: a mechanically gated channel at the tip of the short cilia. ”

"In the biochemistry and physiology classes in college, do you sleep all the time, or you and my girlfriend are talking to me, and you don't listen to the lectures at all."

Luo Hao asked disdainfully.

Chen Yong dazedly recalled what Luo Hao had said.

Although that passage was complicated, Chen Yong remembered every word clearly.

But this passage is said to the girls, and they can't understand it, it's a pity.

As soon as he thought of this, Chen Yong saw Luo Hao's eyes staring at him.

He instantly felt ashamed, even a little scared. But why there is such an emotion, Chen Yong can't tell.

No, I was PUA by Luo Hao!

The next second, Chen Yong realized this.

"Do surgery well and use more snacks professionally."

"Cut." Chen Yong whispered.

"At the end of the year, let's go to the provincial capital to open a school, if there is no accident, I am ready to work in the provincial capital for a period of time after the New Year. If you're not good enough to keep up with me, the medical team will fall apart. ”

"Provincial capital?" Chen Yong was puzzled, "Is the personnel relationship transferred to the provincial capital?" That's hard. ”

"What are you doing here, Fei that's the matter. I just go to further study, and I don't adjust personnel relations. Luo Hao said, "There are more patients in the provincial capital, and there are many incurable diseases, so the clinical experience will increase." ”

"And then? Outside as a cow and a horse, and come back to continue to be a horse and a cow? Chen Yong's habitual strange words are repeated.

Luo Hao looked at Chen Yong with a stupid gaze.

"It's hard, isn't it?"

"Definitely not." Luo Hao said firmly, "If everything goes well, I will most likely return to Xiehe at this time in the year after tomorrow, and the working relationship will be transferred to the emperor, so what is the point of returning to the mine." ”

“！！！”

After hearing the name Xiehe, Chen Yong's eyes lit up.

It's the same as when you see a pretty girl.

"I really want you to follow in my footsteps, although I also know that I can go fast, which is difficult for a strong man."

Gan!

Chen Yong felt uncomfortable when he saw Luo Hao pretending to be forced.

But he knew that what Luo Hao said was true.

At that time, Chai Lao came to see Luo Hao, and the eagerness to return to the imperial capital was overflowing.

Chen Yong can be sure that as long as Luo Hao wants to go back to Xiehe, he will definitely be able to go back without any accidents.

Thinking about it, he suddenly panicked.

"You're going to take me back?"

Unconsciously, Chen Yong also used the word "go back".

"Of course, who wouldn't want their assistant to be an archmagister." Luo Hao smiled.

Archmagister ......

Chen Yong was speechless.

But his disgust with Luo Hao was overwhelmed by his yearning for Concord.

For a doctor or medical student, Concord is the highest temple, and there is no one.

That's all Luo Hao can do, if Chen Yong doesn't care, Luo Hao won't do it.

Under Luo Hao's supervision, Chen Yong was obviously attentive and worked hard to study and complete the interventional surgery.

Watching the increase in the number of surgeries, Luo Hao experienced the happiness of capitalists.

There are some things that you don't have to do yourself.

Before he knew it, Chen Yong had already begun to be a cow and a horse, but he didn't know it.

As the days passed, the weather became colder and colder, and after a few heavy snowfalls, the whole northern country was covered in snow.

Seeing that the long-term main quest of the second phase is about to be completed, Luo Hao is looking forward to it more and more.

The massive amount of experience is enough to make the surgical skill jump from level 4 to level 5, what is that experience?

If your surgical level is raised to the provincial level, you can really return to the imperial capital openly.

One day.

Luo Hao got up leisurely in the morning.

Lin Yuejuan prepared breakfast, Luo Hao was snoring and eating, and the mobile phone rang.

[People say that a man is a teenager until he dies, but how can a teenager worry about two or three dollars. 】

"Uncle, what's wrong?" Luo Hao picked up the phone, asked vaguely with a steamed bun in his mouth.

"Orthopedic Ward 4, hurry up." Lin Yuming said sternly.

"Good!" Luo Hao replied immediately.

As soon as he heard it, he knew that something was wrong, and Luo Hao didn't have time to ask, so he responded directly.

At this time, Lin Yuming's words were a clarion call, Luo Hao was a soldier waiting for the charge, how could there be so many problems, and he knew everything after he went.

"Your uncle asked you for a consultation?" Lin Yuejuan asked.

"Hmm." Luo Hao hurriedly got dressed with a half-pulled steamed bun in his mouth.

"I was shopping for groceries early in the morning, and I heard that there seemed to be a mining accident last night, two died and more than a dozen were injured, and everyone sent you to the hospital."

“！！！” Luo Hao immediately knew why his uncle Lin Yuming's tone was serious.

For larger accidents, the number of people is limited to 3 to 10.

Two people have already died, and once another one dies, it will be characterized as a major accident.

At that time, the mining area will be greatly affected.

No wonder Uncle is so serious.

It is estimated that the pressure on the mining area is extremely high.

Although the general manager of the mine has been separated from the mining area and returned to the name of the municipal government, it used to be an affiliated hospital in the mining area after all, and the bones and tendons were broken, and a lot of pressure was real.

"Mom, I'm in the hospital." Luo Hao rushed out with a steamed bun in his mouth.

Got in the car, stepped on the clutch, shifted gears, and flew out with a foot on the accelerator sign 307.

As long as he is willing to step on the accelerator, Luo Hao's 307 can drag race at high speed without speed limit in Germany, not inferior to any car.

But Luo Hao is usually only willing to drive 60 miles, and he feels dangerous a little more.

Today, Luo Hao stepped on the speed limit, rushed all the way to the hospital, and hurried to the 4th ward of the orthopedic department after changing his clothes.

The hospital-wide consultation had begun, and Luo Hao opened the door of the doctor's office and crept into the office.

Dean Li was here, and Luo Hao knew that his guess was right.

"Luo Hao, this side." Lin Yuming beckoned.

Luo Hao came to Lin Yuming's side solemnly and sat down to listen to the report of the doctor on duty.

The patient had a femoral shaft fracture and was in a relatively simple condition, with no serious compound injuries and no head injury, and had emergency surgery yesterday afternoon.

However, 7 hours after surgery, the patient suddenly became delirious, accompanied by dyspnea, shortness of breath, frequency of 40 beats/min, and sweating all over the body, and the body temperature rose to 37.7°C.

The orthopedic surgeon was helpless and had no choice but to seek consultation.

"Ding Dong~"

The task prompt sound sounded in Luo Hao's ears.

Selective tasks. 】

When he first saw these five words, Luo Hao was stunned for a moment.

Selective tasks?

What does that mean? Literally, it should be both do and not do.

Read on.

[Selective Mission: Seed.]

Content: Preserve the spark for the local area for special healing

Mission duration: one week

Reward: All wishes come true (large). 】

！！！

Luo Hao saw that his thoughts were becoming stones (big), he was not excited, but became more and more serious.

The mission does not state that it is to diagnose or treat individual patients, and this unconventional description is strange.

And the content of the mission is vague, but the rewards are extremely generous.

Coupled with the words "selective tasks", Luo Hao determined that the difficulty of the task must be extremely high.

It should have a relationship with the patient in front of you, but it should not be particularly relevant.

Luo Hao glanced at the office, Dean Li Qiubo was there, and next to Dean Li, there was a delicate man, about 30 years old.

He was dressed in civilian clothes, wearing gold-rimmed glasses, with a straight face and an ugly face.

"Director Lin, I want to see the patient." Luo Hao whispered.

"Go ahead." Lin Yuming whispered, "The patient is now considering pulmonary embolism, you understand the situation, and then ask your teacher if there is any good way." ”

Pulmonary embolism!

Luo Hao was awe-inspiring.

Orthopedic patients are prone to blood clots because they need immobilization after surgery. Small blood clots have the potential to cause pulmonary embolism, which can lead to death.

This complication is unlikely, but it does exist.

It seemed that the person next to Dean Li should be someone from the mining area, Luo Hao understood and tiptoed out of the office.

The young man sitting next to Dean Li was already upset, and when he saw Luo Hao coming and leaving, he was a little unhappy and snorted coldly.

"Dean Li, are you all so unserious about the consultation?" The young man asked.

"Secretary Chu, that is Dr. Luo, who graduated from Xiehe, has a very high level, and it is estimated that he is going to see patients." Dean Li explained.

He was also so sad that he didn't have the heart to talk much.

I just hope that this thunder will not become a mine in the end, the level is too poor, and the good patients will die after being sent in for surgery.

Although the two things of good end and being sent to the hospital are not related to each other, no matter who wants to believe it.

It's not a big deal to see the excitement.

In the past few years, the medical industry has been used up and turned into rats, and everyone shouts and beats.

Encountering such a big event again, Dean Li didn't want to be troubled, and just wanted to spend it safely.

"What's the use of the doctor, I thought you were looking for an old director." Secretary Chu complained softly, "It seems that we can only wait for Professor Chu of the Second Hospital of the Medical University." ”

As he spoke, he raised his wrist and looked at his watch.

Luo Hao closed the door of the doctor's office and came to the ward.

The patient is in a shallow coma, with cyanosis of the lips and an unresponsive call.

Luo Hao listened to the patient's lungs, and there were a small number of crackles, which was estimated to have been used to relieve spasmodic and asthmatic drugs.

During the physical examination, Luo Hao suddenly noticed that there were small bleeding spots on the patient's body.

The bleeding spots are not numerous and are pinpoint-like.

If it weren't for Luo Hao's carefulness, he wouldn't have been able to find out at all.

Luo Hao was slightly stunned, it is said that this kind of small bleeding point like a needle tip has no clinical significance at all, but Luo Hao thought of a possibility!

The patient had just undergone surgery less than 12 hours ago, undressed and covered with a quilt.

Luo Hao lifted the quilt and saw that there were more needle-like bleeding spots on the edge of the plaster cast on the patient's right inner thigh, and there were similar bleeding spots on the left inner thigh.

More is more, but it is also within the scope of negligibility, and it is not very conspicuous.

"What!" Seeing that Luo Hao was young, a worker who accompanied him unceremoniously grabbed the quilt and covered the patient, "What should I do if I catch a cold!" Just had surgery. ”

Luo Hao smiled and did not have an argument with his co-workers.

In the system panel in the upper right corner of the field of vision, the diagnostic auxiliary AI was flashing, and then a diagnosis that was consistent with Luo Hao's idea appeared - fat embolism.

It's a fat embolism, not a pulmonary embolism caused by a blood clot!

Although fat embolism is also serious, it is fundamentally different from pulmonary embolism.

The pinpoint-like bleeding point on the patient's inner thigh and the diagnostic assistance AI made Luo Hao know in his heart.

Rush back and explain the situation.

Walking and walking, Luo Hao was stunned for a moment.

He remembered something.

In the past, the mine had the only hyperbaric oxygen chamber in Donglian City.

Recently, the hyperbaric oxygen chamber has been in a state of disrepair and requires a large amount of money if it is to be maintained.

For hospitals, hyperbaric oxygen chambers are negative assets and lose money every month.

It's nice to be able to make do with it, not to mention spending millions to maintain it.

Therefore, at the weekly meeting of the hospital last month, it was decided to abandon the hyperbaric oxygen chamber.

This is a money-losing goods, and the hospital simply can't afford to support such a high-end thing if it is self-financed.

Luo Hao didn't really agree with this decision, but he was not qualified to attend the weekly meeting of the hospital, let alone speak.

He also knew about it from Lin Yuming's nagging.

In the future, there will be no hyperbaric oxygen chamber in Donglian City......

The probability of recovery of patients with cerebral hemorrhage and cerebral infarction is a few percentage points smaller, and the treatment of some special diseases simply stops thinking.

Could it be that the task of the system has something to do with the hyperbaric oxygen chamber?

Let yourself push the hyperbaric chamber to stay?!

Luo Hao couldn't cry or laugh.

Shouldn't the system only issue tasks for a certain patient? It really looks up to itself.

But also, the system promulgated optional tasks, you can do it or not, but if you don't do it, you won't be able to get the task reward.

Gan!

Luo Hao's eyes gradually became firm, and he strode towards the doctor's office.

Director Tan of the hospital office came over with a middle-aged man, and after seeing Luo Hao, Director Tan waved his hand, which was regarded as a greeting, and then bowed down to open the door and invited the man in.

Luo Hao quickened his pace, leaned over to Director Tan's side and asked, "Is this ......?"

"The mining area is an expert invited by the Second Hospital of the Medical University."

As he spoke, Director Tan sighed with a smile.

"The mining area was in a hurry, GL8 received people, and rushed all the way over. After getting out of the car, Professor Hou said that his legs were weak. ”

Luo Hao remembered a joke - you just open it, and leave the rest to finance.

It seems that a certain company is in a hurry to use the official seal in a certain year, speeding all the way, and delivering the official seal in the shortest time. But the car was scrapped, and a fine of more than 8,000 yuan was paid.

I didn't expect to encounter something similar in reality.

"Director Tan, please come in." Luo Hao said politely.

Director Tan gave way, and seeing that Luo Hao was resolute, he walked in first.

After the expert entered the door, he didn't talk nonsense, read the film directly, and checked various test reports. They then go to the ward to see the patient and have a physical examination.

After coming back again, the tall and thin Professor Chu asked, "What about the CTA film, why didn't I see it?" ”

"I haven't had time to do it yet." The doctor on duty replied curtly.

Professor Chu was stunned for a moment, he was a little angry, but when he thought that this was a lower-level hospital, he understood.

"I did a CTA test of the lungs first, and I really didn't rush to do even the gold standard test."

CTA angiography, also known as 64-slice CT, has no night emergency at the mine.

Orthopedic surgeons rarely see similar patients and have no clinical experience, so much so that the specialist has not yet done the examination.

"Wait." Professor Chu suddenly said, "Pump the thrombolytic drug first, and hurry up." Patients suspected of pulmonary embolism are not given thrombolysis first, and no gold-standard examination is done, haven't you ever seen it with the doctors of the mine? ”

"Hurry up!" Professor Chu said.

The general manager of the mine began to mess up, some doctors began to give medical orders, some people wanted to push patients, and some people asked Professor Hou about the concentration and speed of thrombolytic drugs.

"Teacher." Luo Hao raised his hand cleanly and refreshingly.

He was like a student in the classroom.

"Huh?" Professor Chu glanced at Luo Hao, but didn't care, just thought he was an intern.

"The diagnosis is only a preliminary diagnosis, is it better to give thrombolytic drugs later? After all, the patient has just undergone surgery, and direct administration of anticoagulants will cause bleeding. ”

"Is postoperative bleeding more important than pulmonary embolism?" Professor Chu snorted unhappily.

"Pulmonary embolism is only a preliminary diagnosis, not a definitive diagnosis, and a definitive diagnosis will not be made until the 64-row CTA is examined." Luo Hao insisted on his point of view.

Professor Chu laughed angrily, he pointed at Luo Hao and asked, "Who has the final say in your mine?" An intern came out to point fingers, and someone didn't care. ”

"Pedantic." Professor Chu didn't wait for anyone to answer, and then reprimanded coldly, "Just stand up and point at the skin, this is emergency first aid!" ”

"Dean Li, how can the doctors in your hospital be like this!" Secretary Chu looked at Dean Li Qiubo very unhappily, and shouted in a low voice.

It can be seen that Secretary Chu is already in a hurry.

After all, there is a natural gap between ordinary accidents and major accidents, and it may even affect the future prospects of leaders.

As the leader's personal secretary, Secretary Chu is not in a hurry.

Luo Hao didn't argue.

In the emergency first aid, only one voice can speak.

If you jump out and have an argument with the other party at this time, even if you win, it won't look good.

Luo Hao lowered his head and turned around to help carry the patient for CTA.

"I don't understand anything, and it's really nonsense to learn from other people's emergency rescue." Professor Chu said disdainfully.

Dean Li was also strange, it was said that Luo Hao should say something.

But he just left.

Dean Li hurriedly went to compensate for it, and said something nice to let Professor Chu dissipate his anger.

Luo Hao helped lift the patient onto the flat car, and the nurse rushed over with a micropump.

Install a micropump and adjust the dosing speed.

"I'll do it." Luo Hao smiled, "Adjust the speed while going to do the examination, you can hurry up." ”

"Okay, thank you, Dr. Luo." The nurse hurriedly thanked her.

Luo Hao held the flat car and adjusted the value of the micropump, but closed the infusion valve.

If the 64-row CTA confirms that it is a pulmonary embolism, it will be too late to administer the drug.

But Luo Hao didn't believe it.

Diagnostic assistance AI can even diagnose extremely rare genetic diseases, coupled with Luo Hao's own judgment, he really doesn't believe that the patient is not a fat embolism.

There has to be a gold standard.

Professor Chu did not accompany the patient for the examination, but sat in the office and waited for the results.

Dean Li asked Lin Yuming to supervise and coordinate.

When Lin Yuming came to the CT room, the patient had already been sent to the computer room.

"Luo Hao." Lin Yuming pulled Luo Hao aside, "What were you doing just now?" ”

If it was in the past, Lin Yuming would have kicked him up, letting Luo Hao know what his surname was.

But after going through so many things, Lin Yuming has already been impressed by Luo Hao, and he has been polite between his words.

"Uncle, Professor Chu's diagnosis is wrong."

"Huh? No, the patient's clinical symptoms are exactly the same as written in the book. Not to mention what is written in the book, I have seen patients with pulmonary embolism, who have similar manifestations to him. ”

"Do you see a pinpoint bleeding spot on the patient's inner thigh?" Luo Hao asked.

“……”

Lin Yuming was stunned.

"That's a sign of fat embolism, and I think it's a fat embolism secondary to a long bone fracture. If there is no error in judgment, there will be no major change in the patient's 64-row CTA. ”

"You can give thrombolytic drugs!" Lin Yuming was anxious all of a sudden.

"I turned the infusion valve off." Luo Hao smiled and whispered, "Don't worry." ”

Lin Yuming's throat was blocked.

No wonder Luo Hao was obediently "scolded away", it turned out that he didn't want to fight, but moved from the source.

This dog thing is a little too bold.

On the plus side, this is called the boldness of the artist; At worst, it's called single-mindedness.

Lin Yuming didn't judge, but quietly waited for the image to come out.

20 minutes later, in the sound of the machine, images appeared in front of Lin Yuming's eyes frame by frame.

[This is the daily life of a seaside person going up the mountain and going down to the sea!

There is no pretending to slap your face, only the leisurely of going up the mountain and going down to the sea!

Chronicles, daily, catching the sea, farming, raising babies, parents are short, don't like it, don't spray! 】

Ye Yaodong just couldn't sleep, thinking about going to the deck to blow the wind and pee, but he didn't expect to fall into the sea and return to 1982.

It's still the familiar little fishing village, but he's not the same person he was when he was younger.

After being a bastard for half his life, this time he wanted to live a good life, but why didn't he believe it one by one......

He didn't have any success in his previous life, and he didn't have any big ideals and ambitions in this life, he just wanted to redeem his regrets, live a good life with his wife, and the family would be safe and happy.

(End of chapter)