86 is good and very spirited!
Luo Hao got the first-hand information, and the remaining image data needed was in the computer, so he was not in a hurry.
I'm in a good mood.
Director Shi has helped himself, and he can also help him, Luo Hao feels very happy.
Back in the operation room, Feng Zixuan took a deep look at Luo Hao and patted him on the shoulder, "Not bad, Xiao Luo." ”
"I'll take a hand, and the operation was done by Mr. Shi." Luo Hao smiled.
"Huh." Feng Zixuan nodded with a smile, noncommittal to Luo Hao's words.
"Xiao Luo, you are the one who made the ERCP for Dean Jin's father." A doctor with a thin and withered body but a full beard greeted him, "Hello, I'm Chen Yan, director of gastrointestinal surgery. ”
"Hello, Mr. Chen." Luo Hao stretched out his hand and bent over.
If you don't bend over, you can't do it, this Director Chen is too short. If you want to say that being short is also good, anyone who sees it has to bow their heads and bend over.
Luo Hao even suspected that Director Chen had to use two footstools to see the operation area during surgery.
The top of the sky is one and a half meters.
"Xiao Luo, awesome!" Chen Yan looked at Luo Hao with a smile and praised, as if his face was full of beard and praise Luo Hao.
"Huh? Where. ”
"It's all my own people, I have a good relationship with Lao Shi, I don't know him yet." Chen Yan saw that Feng Zixuan was gone, he patted Luo Hao's arm, "Let's go, let's change clothes together." ”
Luo Hao followed Chen Yan away, Chen Yan said as he walked, "This operation, they can't take it down in the endoscopy room, just now I saw you as an assistant to Lao Shi, and he suddenly became like a divine help." There must be a demon in everything that is abnormal, you say, Xiao Luo. ”
"Hehe, I'm just a handle, I really didn't do anything." Luo Hao smiled.
"Harm, you're really strict-mouthed, boring." Chen Yan came to the locker room.
After taking off the isolation gown, Luo Hao suddenly saw Director Chen's heart protection hair, and the whole person was hairy.
Gee.
If the hospital's concept of sterility is stricter, he will have to force him to shave off all his heart protection hairs.
"Xiao Luo, why did you say you went to the intervention department?" Director Chen Yan Chen sighed, "Whether it is the endoscopy room or various surgeries, where to go, the interventional department will not do it." ”
"There's a project at hand." Luo Hao smiled slightly.
"Project?"
"There are studies on maxillofacial hemangiomas." Luo Hao glanced at the system panel in the upper right corner of the field of vision, and said helplessly.
"Awesome, there are still people to do that kind of broken project!"
Luo Hao couldn't hear whether Director Chen Yan and Director Chen were praising himself or hurting himself.
Or, just tell the truth.
"By the way, you're new to the city, and you're not familiar with it yet. If there's anything you need my help with, just say, you're welcome. Chen Yan said to Luo Hao while changing clothes.
Luo Hao's heart moved, he came to the system space, opened the surgical procedure and quickly glanced at it.
Interventional procedures in gastrointestinal surgery...... Not a lot, but there are a few.
Director Chen sent it to the door to help brush the number of surgical cases, and Luo Hao would not miss this opportunity.
"Teacher Chen, thank you so much!" Luo Hao sincerely thanked, "I just came, and I am not familiar with life, thank you." ”
"You're welcome, no, ...... free"
"Look at the intestinal obstruction patients in your hands, if you are not in a hurry to go to surgery, if you want to try conservative treatment, can you arrange for intestinal intubation and decompression?"
“!!!”
Chen Yan's face and beard seemed to have encountered a static reaction, and he stood up all of a sudden.
He never expected that Luo Hao would really make a request, and he didn't see it at all.
Moreover, it is an operation that no one wants to do.
Generally speaking, the interventional department is a poor department, and there are not many people who are willing to do it.
There are also several types of interventional surgeries, such as DSA fluoroscopy lower jejunal feeding tube and intestinal intubation decompression, which even the doctors in the interventional department are unwilling to do.
Luo Hao actually made this request.
Chen Yan looked Luo Hao up and down with interest, is there something wrong with this young man's brain?
In order to brush up on the amount of surgery, has this been desperate?
Young man, it's a real volume.
"Teacher Chen, can you see it?" Luo Hao politely asked again.
"Yes, of course." Chen Yan said with a smile, "Then let's make a decision." ”
"Actually, the doctors in the interventional department are reluctant to do it, and our doctors also feel that they don't want to eat threads. You know, since you're willing to do it, that's the best. ”
After changing clothes, wave goodbye.
"Director, that little doctor Luo is not normal here." The professor beside Chen Yan pointed to his brain.
"Hehe, who knows." Chen Yan smiled, "Give him a half-operation." ”
Words, half a sentence.
But the professors under Chen Yan understood what the director meant.
How can there be a reason for all surgeries to be given to one person, don't look at the interventional department and don't want to do intestinal intubation and decompression, but if you really want to give all such surgeries to Luo Hao, Shen Zizai is afraid that he will be quite uncomfortable.
"It's better at night, Lao Shen can't say anything. Today you are the second line, and you will have to call his mobile phone number for a while, and call him if you have intestinal obstruction at night, and go to the emergency department. ”
"Hahaha." The professor smiled at the understanding.
……
……
Luo Hao returned to the interventional department, and Chen Yong was lying on the nurse's station, chatting happily with the nurses.
They talked and laughed, and their eyebrows danced.
Although Chen Yong didn't take off his mask or take the seal, he still thrived in the women's pile, like a fish in water.
With the contact time for a long time, Luo Hao also got used to Chen Yong's way of doing things.
It's good that the relationship with the nurse is better, and many things will be more convenient in the future.
Back in the office, Luo Hao immediately began to write a case report about a spoon being swallowed to the duodenum.
"Well?" Chen Yong caught a glimpse of Luo Hao coming back, and he also followed in and asked.
"I just came across a case and I'm going to write an article."
"You really don't have any free time at all." Chen Yong saw the photo on Luo Hao's mobile phone, and suddenly became interested, "You took this out?" ”
"It should be said that Mr. Shi took it out." Luo Hao corrected.
"Is that okay? Can this be done? Chen Yong was surprised.
"My last case report was a patient who liked weightlessness, and she was especially willing to sit on crazy mice, jumping machines, and so on. I didn't feel anything abnormal until I had a physical examination and found tricuspid valve regurgitation. ”
“!!!”
"Later, after summing it up, I found that the reason why she likes weightlessness is tricuspid regurgitation, and in some cases, the pleasure caused by ischemia and cerebral hypoxia."
"Is that okay?!"
"Of course, I don't want to say it's a case report. In fact, if I studied that case further, there was still a lot that could be excavated, but I really couldn't do it alone. ”
"Don't just talk to the girls, hurry up with the tasks given to you. There will be a lot of surgeries in a few days, and I'm afraid you won't have time to get it. ”
"I'm almost done." Chen Yong said proudly, "It's just a little something, it's not difficult for me, don't forget that I'm a master's student in the UK." ”
"Shui Shuo?"
"Cut, you're just jealous, I studied magic, and after graduation, I'm a serious magician, with a certificate, do you want to take a look."
"No, I don't."
"By the way, Boss Lou just came to the door to express his gratitude, but you weren't there."
"Oh."
Luo Hao didn't care about this at all.
He is not short of money, and Boss Lou is just an ordinary patient's family member to Luo Hao.
Say thank you? Not at all.
"I knew you were going to put on a stinky face that you didn't care about, so I helped you refuse. is clearly a poor one, and you have to pretend to be high. ”
"Well, well done. You send me the article in the evening, I'll review it, and I'll send it by email tomorrow. ”
"What? At night? ”
"Do you have anything to do at night?" Luo Hao glanced up at Chen Yong.
Chen Yong's mask is all about reluctance.
"When you're young, you know how to fool around every day." Luo Hao reprimanded softly.
"That's life, like you, even if you become an academician, is it really interesting?" Chen Yong was disdainful.
"Yes." Luo Hao nodded seriously and began to write his thesis.
The number of the long-term main quest is beating again, and Cui Mingyu is undergoing surgery on An Zhen's liver.
Luo Hao has a little headache, there are still vacancies in the medical team, and it is a bit of a waste to put that, but if you find someone at random, you will not be in tune with Chen Yong, it will be a real waste.
Wait, let's do it yourself, Luo Hao thought to himself.
In more than an hour, Luo Hao finished writing the paper.
This kind of case report is a piece of cake for Luo Hao, he can't write it with his eyes closed, but if he opens his eyes, he is inattentive if he exceeds two points.
Next, just find a few more images of the operation, Luo Hao took out his mobile phone and prepared to contact Director Shi.
"Knock knock~"
A sturdy black man appeared at the door of the office.
"Hello, Boss Lou." Luo Hao stood up with a smile, very enthusiastic.
Chen Yong's mask moved.
"Dr. Xiao Luo." Boss Lou stretched out his hands and walked a few steps briskly to meet him, "Yesterday I was sad and happy, a little confused, embarrassed." ”
"Harm, cure the disease, what we should do, depends on what you say." Luo Hao said politely, but he didn't have the slightest idea of letting Boss Lou come in and sit.
Boss Lou understood, but he smiled sincerely, and he didn't leave, expressing his gratitude.
Luo Hao was also very helpless, reaching out not to hit the smiling person, and there was really no way to drive Boss Lou away.
In the blink of an eye, Luo Hao remembered one thing, and his heart moved.
"Boss Lou, take a step to speak."
"Doctor Xiaoluo, you are too polite."
The two of them left the doctor's office, and Luo Hao looked at Boss Lou very seriously, "Boss Lou, I know you are here to express your gratitude." ”
"Of course." Boss Lou was a little ashamed, "I know that you are not short of money, and I really don't know how to thank you." ”
"I have a project in my hand, don't you look at it."
“???”
Boss Lou was stunned for a moment.
Project?
These words came out of Luo Hao's mouth, which was extremely unfamiliar.
In an instant, Boss Lou instinctively became cautious.
"You speak, you speak, but whatever I can ......" was cautious, but Boss Lou said the opposite.
"Boss Lou, you're welcome, let's tell the truth and save communication costs." Luo Hao said, "The content of the project is an injectable nano thrombolysis robot, you are not in a hurry to agree, first go to find information and ask relevant experts." ”
Boss Lou silently wrote down what Luo Hao said.
"I have been studying this project for about 3 years, and the angel round is my own investment, and the A round and A+ have also been invested. If you are interested, you can participate in Series B investment. ”
Boss Lou nodded cautiously.
"Research it first, don't worry, it doesn't matter if you don't invest, what I said is true, in fact, there is no C round, B round of investment is the last round, and then you can produce samples."
Boss Lou was a little moved.
"Okay, that's it, I'm still busy."
"Doctor Luo, you are busy, you are busy, who should I contact?" Boss Lou asked.
Luo Hao gave him Manager Yin's phone number, then turned around and went back to the doctor's office.
Luo Hao didn't want to worry about these things.
The project, Luo Hao is confident, Boss Lou invested money in, and good luck can be regarded as a splash of wealth.
An uneventful day is over.
Other doctors in the interventional department are admitting patients, and they are constantly admitting patients, all of whom are scheduled for chronic diagnosis.
The empty wards were filled almost instantaneously.
Luo Hao glanced at his task and was a little sad.
Whether it is a long-term main quest or a maxillofacial hemangioma task, the difficulty is extremely high.
But Luo Hao can calm down, and he has such ruthlessness and calmness.
Luo Hao went home and made his own food, Chen Yong went on a blind date, and it is estimated that he will not come back today.
For Chen Yong, Luo Hao even felt that it was redundant to rent a house, so it was better to set up a membership in Shangri-La and Sheraton and live in a five-star hotel all year round.
However, Chen Yong had already sent the paper to Luo Hao, and Luo Hao took a look at it after eating and corrected some minor problems.
In terms of writing a dissertation alone, Chen Yong has done quite well. After all, he has studied abroad, and he is much better than the average person in reading and writing English.
It's just that Luo Hao can't understand some sentences, which Luo Hao blames on the identity of a magician.
It may be that there is too much chanting magic and some bad habits have been formed.
Washed up, went into the system operating room for surgical training, and Luo Hao deliberately took out the intestinal intubation and decompression surgery sheet for training.
The operation is actually not difficult, if the intestine that cannot pass through the guidewire, I am afraid that the operation will be performed long ago.
The significance of this type of interventional procedure is that it can relieve the symptoms of patients with intestinal obstruction who can be treated conservatively and increase the chance of conservative success.
What is the hardest surgery in gastrointestinal surgery?
Those difficult surgeries combined are not as good as intestinal obstruction that recurs after 3-5 surgeries.
Intestinal obstruction is a kind of surgery that gets worse and worse, and each operation is a blow that makes the next surgery more difficult.
It is not an exaggeration to describe it as drinking water to quench thirst.
It has been reported that 20-30% of patients recover after intestinal intubation and decompression.
The operation is of great significance, but in clinical practice, there is very little that can really be done.
It depends on a variety of factors.
Luo Hao is too lazy to think about it so much, that's not something he can manage, just do his best.
……
……
The First Hospital of the Medical University, Department of Gastrointestinal Surgery.
Professor Ray lay on the bed yawning and grumbling.
Originally, the second line could have waited at home, and Corey could have thrown it to the doctor on duty and the general hospital.
A few years ago, there was a medical accident in other departments, and the patient's family almost didn't set fire to the dispute office, Director Feng was furious, and the second line could not go home from then on.
You can not listen to the director of the department, it is a big deal to lie down and be a salted fish, but in the clinical front line of the First Hospital of the Medical University, no one dares to disobey Director Feng's words.
That one is extremely ruthless and has a lot of means, and his gaze will make people unable to survive or die.
But there was no way to complain, Professor Ray was groggy and ready to sleep.
Before going to bed, he picked up his mobile phone and looked at the circle of friends boredly.
"Professor Lei, there's a consultation!" The doctor on duty knocks on the door.
Professor Ray answered and put on slippers to see the situation.
It is clear that there is a total hospitalization, and Professor Lei has been slandering in his heart.
Professor Lei, who was irritable and a little violent, endured and looked at the patient, who had paroxysmal abdominal pain with nausea, vomiting, bloating, and cessation of gas and defecation, typical symptoms of intestinal obstruction.
After asking about the medical history, it turned out that the patient saw the roast duck quilt when he was scrolling through Tik Tok, and thought it was funny, so he went to eat a big meal.
I don't know if I don't try, and I'm shocked when I try.
The roast duck cover is eaten in this way is simply too refreshing, simple, worry-free, a duck is not enough, she ate a half roast duck, eat the roast duck top neck before going home.
Soon after returning home, the patient began to have abdominal distention, followed by abdominal pain.
From noon to evening, the patient couldn't stay up, so he came to the hospital for treatment.
Professor Ray judged the intestinal obstruction to be caused by overeating.
Although overeating usually causes pancreatitis, there is no pain in the upper abdomen, and the symptoms and signs are typical of incomplete intestinal obstruction.
Professor Lei gave the diagnosis, complaining that the patient couldn't control his mouth and didn't rest.
What he doesn't understand the most is that a bunch of people sympathize with the street sweepers and don't litter, but who sympathizes with the doctors?
Eating so much, isn't it looking for a disease, who pities the doctor on duty.
Thinking about it, Professor Lei's already violent heart suddenly gave birth to an idea.
In the middle of the night, if you don't sleep, don't even want to sleep.
Didn't that little thing named Luo Hao want to have more surgery? When he first arrived, he was so arrogant, toss him.
Picking up his mobile phone, Professor Lei dialed Luo Hao's number.
"Xiao Luo, I just admitted a patient with intestinal obstruction, the symptoms are relatively mild, you come to the lower intestine to decompress and try if it can be conservative."
After Professor Lei finished speaking, he was in a good mood.
He seemed to see Luo Hao, who had fallen asleep, being called up, with a tangled face that was angry to get up but had to thank him.
"Okay, thank you, Mr. Lei!"
Luo Hao thanked on the other side of the phone.
Very nice and very energetic! Professor Ray thought to himself.
……
Luo Hao put on his clothes and knocked on Chen Yong's door.
As expected, Chen Yong was not there and went out on a date again.
It's really a night song, Luo Hao smiled.
He took out his mobile phone as he walked out, but after thinking about it, he put it away and didn't call Chen Yong.
Intestinal intubation and decompression surgery is not big, it can even be said to be just an operation, do it yourself.
What if Chen Yong really becomes the master who doesn't admit it when he wears autumn pants?
This was the first consultation operation in the first year of the medical university, and Luo Hao was in high spirits and trotted to the hospital.
After changing his clothes, Luo Hao rushed to the gastrointestinal surgery, and on the way, he didn't forget to call Shen Zizi for instructions.
Surgery, Shen Zizi is unwilling to do it, he can not do it, but he can't not report it.
After all, he is the director, and Luo Haomen is clear about this.
Coming to the Department of Gastrointestinal Surgery, Luo Hao had a smile on his face, "Teacher Lei, thank you!" ”
"You're welcome, you have to be a young man, and you're in good spirits." Professor Lei yawned, "Look at the next intestinal decompression tube, it would be best if you can be conservative, and if you can't be conservative, you can go on stage again, after all, she is a little girl, it is better to have no surgery or no surgery." ”
"Okay, I'll go see the patient first."
Luo Hao was dressed in a white, neat white suit, with folded pleats, and his body seemed to be glowing.
Professor Lei watched Luo Hao go out and was quite emotional.
It's really energetic.
It's nice to be young.
It's okay, you can put down a decompression tube at night to try to decompress, if it really doesn't work, you can do surgery during the day.
Good for the patient and good for yourself.
That's the example of hello and good me.
Professor Lei was very satisfied, and he also thought in his heart that similar patients would simply come to Luo Hao in the future.
Back in the duty room, Professor Ray began to pack his things, turned off the lights and lay down, and before he could cover the quilt, he heard a knock on the door.
"Teacher Lei." A voice came in.
"Xiao Luo, you go for surgery, I'm asleep. If there is any special circumstance, come back to me. Professor Ray said with a yawn.
This is also for the sake of Luo Hao's ability to try to make patients treat conservatively and not open the emergency desk in the middle of the night, Professor Lei said softly.
Otherwise, the nose is not the nose and the eyes are not the eyes.
Dog thing, no eyes at all, didn't you see yourself turn off the lights?
"Mr. Lei, the patient's diagnosis is discussed, is it convenient for you?"
"What's debatable, incomplete intestinal obstruction, it's clear."
Professor Ray had begun to get angry, and his tone was stiff.
"Mr. Lei, intestinal obstruction is true, but I suspect that the patient has abdominal calluses."
"!" Professor Lei burst into foul language.
It is an exaggeration to say that there has not been a single case of abdominal callouse in 800 years, but at least Professor Lei has only seen one patient in his 20 years of medical practice.
Luo Hao, this kid is really slippery, and he said that he wanted to do intestinal decompression, but he called him in the middle of the night, and he began to make trouble.
Mb!
Do you want to have surgery anymore?
"Teacher Lei, it's true, can I enter?" Luo Hao asked.
After hearing Professor Lei's foul language, Luo Hao not only did not retreat, but kept insisting.
Defect!
Professor Lei scolded in his heart, cheered up, pulled his slippers to turn on the light, opened the door and said with a black face, "If you want to do it, do it, if you don't want to do it, get out!" ”
Luo Hao's smile didn't change at all, and he said gently and politely, "Teacher Lei, I just finished the physical examination, and the patient's whole abdomen is moderately distended, asymmetrical, and a whole, smooth, and unshrinking mass can be palpated, and bowel sounds can be heard on the surface. ”
"Upright peritoneal dialysis shows that part of the small intestine is gathered in the left lower mid-abdomen, and the position is suspected to be fixed."
"Why do you want to hear what you're talking about, suspicious?" Professor Ray began to lose his temper.
"Yes, there are only upright peritoneal diasis spots in the system, and I don't see moving images." Luo Hao said politely, "Based on these two points, as well as the patient's medical history, I think it is cocooning." ”
"!" Professor Lei scolded angrily, "It's too bad to ask for food, get out!" I don't need you. ”
As he spoke, he strode out of the duty room with a black face.
"Xiao Liu, explain the patient's condition and prepare for emergency surgery."
"Mr. Lei, emergency surgery is a must, I don't recommend laparoscopy, I have to open my abdomen."
Luo Hao seemed to automatically block Professor Lei's swearing, and followed him to "give advice".
Professor Lei's face was black, and his whole person seemed to be shrouded in dark clouds, lightning and thunder, and he would go berserk anytime and anywhere.
(End of chapter)