Coming to the operating room and changing clothes, Luo Hao really couldn't look directly at Fan Dongkai.

This thing must be looking forward to going to Princeton, as he is doing now, as a low-level doctor.

It's so beautiful to think!

Luo Hao was a little helpless, but he was also a little expectant.

With the blessing of almost unlimited patients in India's Phase 3 and 4 clinical trials, the task should be completed.

Some time ago, as Cui Mingyu and Yuan Xiaoli fell one after another, the progress bar of the surgical volume progressed extremely slowly.

Unexpectedly, a Fan Dongkai fell from the sky and smashed on Luo Hao.

Well, this junior doctor is good!

Luo Hao and Fan Dongkai have the same idea.

Entering the operating room, Luo Hao first said hello to the anesthesiologist and nurse, and then pushed the echocardio that had been prepared for a long time to start the last examination.

Although Fan Dongkai was surprised by Luo Hao's omnipotence and could even play with echocardiography, he did not show surprise, but did his duty as a junior doctor, holding a pen and paper and preparing to make records.

"A guidewire is visible in the superior vena cava, and the guidewire is from the superior vena cava-right atrium-tricuspid valve-right ventricle. The guidewire folds back in the right chamber and passes through the adjustment bundle.

Three-dimensional ultrasound scanning: the guidewire and the accommodating bundle move at the same time with the cardiac cycle, the demarcation is not clear, and then return to the right atrium through the tricuspid valve, and then enter the inferior vena cava.

Guidewire echo may be seen in the inferior vena cava. The anterior leaflet of the tricuspid valve is mildly dislocated to the right atrium with a depth of 4.0 mm. ”

CDFI showed that the tricuspid valve was seen to reflux at the orifice, with a regurgitation area of 7.3 cm2, a maximum regurgitation velocity of 212 cm/s, and a PG of 17 mmHg.

Ultrasound showed that after hemodialysis catheterization of renal failure, guidewire echo could be seen in the right atrium, right ventricle, and superior and inferior vena cava, mild prolapse of the anterior leaflet of the tricuspid valve, and moderate triuspid regurgitation. ”

Luo Hao's calm and peaceful voice sounded in the operating room.

The ticking of ventilators and monitors becomes the background.

Fan Dongkai wrote down everything Luo Hao said, and not a word was wrong.

He appreciated Luo Hao's echocardiography and did a very good job, and Luo Hao appreciated Fan Dongkai's fast and professional recording.

Running both ways is a pleasant thing.

After doing the cardiac color ultrasound, Luo Hao glanced at the operating room and saw that Director Tian was distracted, and the other doctors were a little dazed.

Luo Hao didn't mind, brushing his hands to disinfect.

Seeing Luo Hao go to brush his hands, Director Tian pulled his mind back and went to brush his hands with Luo Hao.

"Xiao Luo, that assistant of yours is an expert at Princeton?"

"Director Tian, don't make trouble." Luo Hao said with a smile, "It's true that it's an expert from Princeton, but it's definitely not my assistant." ”

Director Tian believed Luo Hao's words, but after believing it, recalling the scene when Fan Dongkai helped Luo Hao take the slippers in the locker room, Director Tian's heart began to be confused again.

This simply cannot be explained.

Only interns, young doctors who have just arrived at the hospital and have a very high emotional intelligence will do this kind of thing.

But all doctors who are a little older have to nod their faces, and they will not do what Fan Dongkai did.

But Princeton's world-class experts actually pulled down their faces......

Director Tian couldn't figure it out, and felt that there must be something strange in this.

After brushing his hands, Director Tian habitually slowed down a little and waited for Luo Hao to disinfect.

After the process of disinfection and laying sterile sheets, Director Tian "habitually" stood in the position of the surgeon.

Luo Hao put on a sterile suit and saw that Director Tian's position was a little helpless.

But although Luo Hao can do this operation, he has to show 100% of his strength to complete it, and there is no redundant space.

This is the conclusion that Luo Hao came to after doing it dozens of times in the operating room of the system.

"Director Tian, the operation is a bit difficult, why don't you help me?" While wearing gloves, Luo Hao mentioned it to Director Tian as if chatting about family life.

“？？？”

“！！！”

Director Tian was stunned.

Give Luo Hao a hand yourself? Could it be that Luo Hao is the main knife?

He subconsciously regarded Luo Hao as a junior officer of the medical department, so he was stunned for a moment when he heard Luo Hao say this.

"Xiao Luo, you're not kidding?"

"Well, the operation has to strip the guidewire, and the heart has to be cut, I'll do it." Luo Hao leaned into Director Tian's ear and whispered "suggestion".

The most difficult point Luo Hao didn't say, because Director Tian also knew.

Seeing that Director Tian hadn't moved yet, Luo Hao could only harden his attitude.

"Director Tian, there may be a lot of follow-up bad things in the operation, and there are many people in the operating room, and I dare not guarantee that the patient's family does not know. It's not a good thing, it's a cauldron. I'm also a professor of Concord, so I can be better when I take the blame. ”

Director Tian's heart moved.

Fan Dongkai looked impatient.

Xiao Luo's level is high, and he belongs to an extremely rare hexagonal doctor, who can hold anything, and is extremely proficient.

But his temper is too gentle, like a glass of warm water.

The chief surgeon even had to discuss with others, and constantly gave the little director of the local hospital a step.

The point is that the director doesn't seem to be interested, and he stands in the position of the surgeon and refuses to move.

If he had changed himself, he would have been embarrassed by a few words.

"The patient's family invited Professor Xiehe to perform the operation, and you are the chief surgeon, what is the matter?" Fan Dongkai really couldn't see it, and stood behind Luo Hao and said coldly.

Director Tian was stunned, and then his face turned red.

In his consciousness, Luo Hao was still a junior officer of the medical office, and he completely forgot that Luo Hao was already a professor at Xiehe and an "external expert" for this operation.

was a little breathless in his heart, Director Tian wanted to turn around and step down.

But forced to be jealous of Lin Yuming and Luo Hao, he still held his hands flat in front of his chest, turned around and stood in the position of the first assistant opposite.

Standing a few steps past, Director Tian had already made up his mind that he would never stretch out his hand for this operation, and let Luo Hao do it all.

Young man, arrogant!

Director Tian knew that Luo Hao had a set of interventional surgeries, and even brought Princeton's experts into his medical team.

But Luo Hao was so rampant that he felt that he could take down cardiothoracic surgery!

Don't let Lao Tzu take charge of the knife, Lao Tzu won't do it yet, and when he can't do it, Director Lin will give him a small word!

Director Tian's abacus crackled.

Luo Hao stood in the surgeon's position, saw that Director Tian was seriously a good helper, and started the operation after disinfection.

"Sternal saw."

Luo Hao stretched out his hand.

The heavy sternal saw was handed to Luo Hao.

The chainsaw buzzed, cutting the sternum with posterior bone wax to stop the bleeding, pulling the sternum apart to expose the heart.

The right atrium was incised, and the guidewire in the right atrium was coiled in a spiral shape, and the guidewire entered the right atrium from the superior vena cava, entered the right ventricle through the tricuspid valve, wound the tricuspid tendinae, and returned to the right atrium through the tricuspid valve again and entered the inferior vena cava.

It's the same as the last echocardiogram you did before the surgery!

Director Tian's heart moved slightly, calm on the surface, but he felt inexplicable in his heart.

Xiao Luo is awesome!

The previous process is extremely proficient, as if a cardiac surgeon who has done thousands of surgeries, this is nothing to sigh about, if Luo Hao even stumbles on this, Director Tian can really step down directly.

The point is that a test that seems to be useless before surgery is actually an indispensable way to determine the surgical approach and plan what to do after surgery.

Could he really have cardiothoracic surgery?

Director Tian's confidence has been shaken.

remembered that after Luo Hao was reported by Wen Youren with his real name a few years ago, there happened to be a patient with ascending aortic dissection who had to undergo elephant nose surgery.

Director 912 Gu brought the team to the flying knife, and talked about Luo Hao during the operation, but did not listen to what Director Gu said.

Strange, are they so tight-mouthed?

Director Tian was a little distracted.

"Smack~"

The hemostatic forceps gently tapped on the back of Director Tian's hand.

Luo Hao's subordinates showed mercy and did not knock the most painful radial styloid process.

"Director Tian, it's time to free the superior vena cava." Luo Hao didn't reprimand Director Tian, but just expressed his thoughts gently.

Fan Dongkai's eyebrows furrowed, Luo Hao has a weakness, he has already observed it!

Luo Hao is too gentle and chatty, which should be caused by the fact that he has never been a senior doctor.

What to say to that rookie doctor, a hemostatic forceps pumped up, and even smashed him in the face.

If you can do it, if you can't do it, get out!

Simple and clear, why take care of his face!

Fan Dongkai thought.

But it's okay, Luo Hao's weakness is that he won't reprimand the junior doctors, but he wants to become a doctor under his own hands, and it's a good thing to have fewer incidents.

Yes, yes, Fan Dongkai looks at Luo Hao more and more pleasing to the eye, and he is indeed the most suitable junior doctor.

It's a pity that her girl is still young, if she is the right age, it is best for Luo Hao to be a son-in-law. has his own guidance for his future, and he wants to come to Luo Hao's future is limitless.

Pity.

Director Tian concentrated on helping, and Luo Hao immediately carefully separated the superior vena cava side guidewire.

The adhesion of the guidewire on the superior vena cava side and the opening of the superior vena cava is seen, and the superior vena cava blocking band is loosened after careful separation, and the guidewire is pulled out to the right atrial side.

As in the system operating room, there was no significant resistance to the removal of the guidewire.

Luo Hao successfully removed the guidewire from the superior vena cava.

Then carefully separate the guidewire from the tricuspid tendinous cord adhesion to protect the tricuspid tendinous cord, gently withdraw the guidewire from the tricuspid tendinous cord, and remove the guidewire in the right ventricular part.

Loosen the superior vena cava blockage belt and gently pull out the guidewire outward, Luo Hao felt the resistance.

Director Tian also saw that Luo Hao had encountered a problem.

The maximum time for superior vena cava blockade is 20 minutes, and Luo Hao completed the operation in less than 10 minutes, and the whole process went smoothly.

Director Tian had long forgotten that Luo Hao would not have cardiothoracic surgery, and at this time, seeing that the resistance was obvious, Director Tian sighed.

"The guidewire is in the heart for a bit of a long time, and you have to have cardiopulmonary bypass. Director Lin, our equipment can be used, call Director Xu. ”

Lin Yuming also saw that Luo Hao's operation was a little difficult, and he began to worry.

There is always equipment in the mine, but the anesthesiologists who can do cardiopulmonary bypass have long gone to the south, and the only doctor in the hospital who has done cardiopulmonary bypass is the director of the anesthesiology department.

But he's only done it, and it's not that good.

And it's been too long since the last cardiopulmonary bypass, so it's estimated that I've eaten it a long time ago.

"Luo Hao, do you know cardiopulmonary bypass?" Lin Yuming stood behind Luo Hao and asked.

"Huh? Cardiopulmonary bypass is not required. ”

“？？？”

“？？？”

Director Tian and Lin Yuming looked at Luo Hao at the same time.

"Help me get a room for a lack of occluder." Luo Hao stretched out his hand.

However, there was an awkward silence in the operating room.

No one spoke, everyone looked at Luo Hao quietly.

Luo Hao was stunned for a moment, and when he thought of something, his hands were a little cold and trembled slightly.

Fan Dongkai was puzzled, "Room occluder is very common, and it is the most basic equipment, you ...... I don't want to do similar surgery, there are no related consumables. ”

Damn it!

Luo Hao scolded in his heart.

Recently, it has been so smooth that I forgot to return to the mine for surgery after completing dozens of surgeries in the system operating room, and the mine manager lacked equipment.

I want to cry without tears.

The operation is halfway done, and there is no suitable thing, which is really called every day and the earth.

The atrial defect occluder is indeed one of the most basic surgeries in the interventional surgery of circulatory medicine, but it is generally done by children, and the reimbursement ratio given by the medical insurance is very low.

There is no room occluder!

Luo Hao was a little flustered, and then forced himself to calm down.

He glanced at the lucky value of 56+2 on the system panel and took a deep breath.

"Uncle, take out my phone."

Luo Hao moved his waist, and Lin Yuming took out the phone from his ass pocket.

"Help me find Da Nizi and call her."

"Your girlfriend?" Lin Yuming asked.

The joy was quickly dissipated by anxiety, and Lin Yuming didn't bother to ask, after all, the patient was still on the operating table.

Find Da Nizi's remarks, make a call, and put the phone to Luo Hao's ear.

"Da Nizi, I need a room occluder, how long will it take for you to arrive in Donglian City?" Luo Hao asked in a deep voice.

"It's here, it's already in the city, and it's still a few minutes!" Wang Jiani said quickly.

Although her voice was still like a big carp jumping around Belle Belle, full of vitality, but this time it was different from usual, and Luo Hao could hear a tremble.

"Are you cold? Wearing less? Luo Hao rarely cared.

"No, I'm afraid, Dr. Law." Da Nizi was about to cry, and her voice became more and more trembling, "The driver is driving too fast, I feel like I'm going to die at any time." ”

"Little girl, you have to go to Donglian City for 2 hours, you can't talk nonsense! Besides, if I drive, you can say something auspicious. ”

A man's voice interrupted Wang Jiani's complaints.

Luo Hao sighed, "Come directly to the operating room, and I'll ask Director Lin to pick up the missing occluder." ”

"Okay, Dr. Law."

Luo Hao didn't ask Wang Jiani how she knew that she was back in Donglian City, and she had time to ask in the future, so she was not in a hurry at this time.

"Warm saline gauze."

After hanging up the phone, Luo Hao asked for warm saline gauze to cover his heart.

"Uncle, you can help me take out the occluder of the room, I'll wait here, and I'll do it in ten minutes."

Lin Yuming was a little disappointed, but he still turned around and went out to wait for the lack of occluder.

"Xiao Luo, there is a lack of occluder, what are you doing with this thing? Isn't this all open? Director Tian asked.

"Blunt separation."

Without waiting for Luo Hao to answer, Fan Dongkai said in a cold voice.

"The atrial occluder is not only useful for interventional surgery, it is also a tool."

Director Tian bowed his head and was silent.

"The cardiothoracic surgery department does not do interventional surgery, it is lazy and greedy, and it is light and afraid of the heavy, but it can't even be that I haven't seen the atrial occluder." Fan Dongkai's tone became sharper and sharper, as if Director Tian had done something angry and resentful.

Director Tian had the heart to refute, but he didn't speak.

He doesn't care what Fan Dongkai is the world's top interventional surgery expert, no matter how specialized an expert is, he can't specialize in Donglian City.

But Lin Yuming and Luo Hao are two mountains that lie in Director Tian's heart.

The atmosphere was a little awkward.

Luo Hao smiled, "Director Tian, if you need to save Taiwan in the future, you can contact me at any time." ”

“？？！！”

Director Tian was stunned for a moment, and immediately raised his head, "Xiao Luo, really!" ”

"Of course, you can do many surgeries with confidence, and it will only take me three or five hours at most to rush back, which is very fast."

"Great!" Director Tian witnessed Luo Hao's operation with his own eyes, and got Luo Hao's promise, and his heart fell to the ground all of a sudden.

What surgeon wouldn't want outside help?

Especially a doctor of Director Tian's level.

They seem to have a very high level of technology, but in fact, they are the ceiling of technology in Donglian City.

Once something happens, or if you encounter a problem, you can't find someone to talk to.

Luo Hao: This is a charcoal in the snow.

Soon Lin Yuming came back, holding a bunch of room occluders.

Luo Hao picked one, and the operation continued.

A 40 cm long atrial defect occluder was used to transfer the sheath from the guidewire into the inferior vena cava, and when encountering resistance, Luo Hao paused, and then carefully rotated the sheath to lead forward.

It turns out that this is blunt separation!

The principle of operation is very simple, and Director Tian can understand it at a glance.

But what he understands is not only the blunt separation of the occluder with the occluder, but also Fan Dongkai's reprimand for himself.

Cardiothoracic surgery, I don't know what the atrial occluder looks like......

It's a bit excessive.

6′22", Luo Hao finally took out the guidewire on the side of the inferior vena cava completely, and a small number of fibrous cords were attached to its surface without bleeding.

The total length of the measured guidewire is 70 cm, which corresponds to the length of the original guidewire.

The bleeding was stopped, irrigated, sutured layer by layer, and the operation was declared over.

The patient's vital signs are stable, and the operation is underpinning, Luo Hao has nothing to worry about.

With the last stitch on, the task is complete.

But Luo Hao didn't go to the system space immediately to see the task reward first, and after the patient woke up from anesthesia and sent the person back to the ward, Luo Hao found Wang Jiani.

Wang Jiani was wearing a white down jacket inside and a military coat on the outside.

Her down jacket is just a decoration, and there is no way to keep out the cold, Luo Hao understands.

Seeing Wang Jiani dressed like a penguin, carrying two trolley cases, and her clumsy movements were more like penguins, Luo Hao almost didn't laugh.

"Da Nizi, how do you know I'm going to use consumables?" Luo Hao asked.

"I ...... I don't know, but the sales director said let me be where you are. ”

"And then?"

"I often ask the doctor in the department where are you, it's too late to know today......," Wang Jiani was a little aggrieved, "I hurriedly took a taxi, saying that there was an emergency, so that the driver could drive as fast as he could, and hurry up to Donglian City." ”

"As a result, the master drove the car into a flying car, and I felt that I had transformed into a Transformer and flew directly over."

Luo Hao sighed.

I wanted to reach out and pat Wang Jiani's shoulder, but I felt too intimate, so I stopped.

"What have you been playing lately?" Luo Hao asked softly.

Wang Jiani's eyes lit up!

"Dr. Luo, Einstein's brain sells very well, and I even feel that I don't have to work if I can sell it for a while."

Luo Hao smiled.

"Then there's the usual recording of some short videos or something, the number of likes is okay, and I don't pick up Hiroko, it's just playing blindly."

"Why don't you pick it up?" Luo Hao was strange.

"I don't understand, I don't know, I don't have my own team, I'm too tired. Make a good video, and what should come will always come. ”

This lying flat mentality is diametrically opposed to Fan Dongkai's pure-blooded cattle and horses.

But everyone has their own fate, and Luo Hao didn't say much.

"Let's go, I'll take you to go through the temporary mining procedures."

Luo Hao cleared all these doors, first went through the procedures of the medical office, and asked his uncle to make a call tomorrow, and other departments would not card Wang Jiani, and it would be done in an hour.

"Doctor Luo, the consumables are used?!" Wang Jiani was a little excited.

"Well, it's very timely, and the operation went well." Luo Hao gave an affirmative reply, "Thank you, Da Nizi." ”

Wang Jiani jumped up all of a sudden, and Belle Belle jumped wildly.

"Great! I've been touching fish, and I'm embarrassed to touch myself. A few days ago, the director also gave me a thumbs up for my short video! ”

“……”

Luo Hao really didn't know what to say about this big-headed little girl.

"I'm here, it's inconvenient." Wang Jiani was interested, and caught a glimpse of the doctor from the head of the mine coming over and was about to leave.

"Let's go to the medical office and go through the formalities first."

Luo Hao took Wang Jiani to the infirmary and said hello to Lin Yuming on the way.

Luo Hao is very proficient in approval procedures and text work, after all, in the two years after graduation, Luo Hao has basically done these jobs that can be used clinically, but there is some distance from the clinic.

"Well, just come back tomorrow to go through the formalities." Luo Hao handed over the approval form to Wang Jiani, still feeling embarrassed in his heart, "Da Nizi, don't you have a place to eat." ”

"Ahh Doctor Luo, I'll just eat it myself, there are a lot of people on your side, and now the hospital is full of manufacturers and dogs are not allowed to enter. It's not good to take me to eat together, you're busy with yours. ”

"Hahaha." Luo Hao laughed and picked up his phone.

"Mom, I'm back." Luo Hao said with a smile, "There is still something to do here, I guess I have to go home late, a friend has helped me a lot, you can cook something for her." ”

"Huh? Female, not girlfriend. ”

"Harm, I can't tell you clearly, cook a meal, I arranged it for her in the hotel, don't stay at home."

Luo Hao left another message for Manager Yin, "Da Nizi, go to my house for a meal, you can't come back all the way without eating." ”

"Thank you." Wang Jiani's eyes were shining, but there was a hint of ignorance.

"The hotel has also arranged it for you, and after eating, I will call a car to go over, and I will not be polite to you."

"You're busy, Doctor Luo, tell me next time if you want to fly knives again."

Luo Hao's heart moved.

"I might be going to India recently, but don't go there."

It's just that his heart is moving, Luo Hao thought about the horror of India for a while, and then broke off this thought.

"Why!" Wang Jiani hasn't figured out the situation yet, and she is already eager to try.

"No, go get busy." Luo Hao began to pick people.

Perhaps, what Chen Yong said was right, Luo Hao thought to himself - he is really the kind of existence that does not admit it when he wears autumn pants.

But is this world inconvenient now, Luo Hao quickly found an explanation for himself.

Sent Wang Jiani to the car, and before she could wave goodbye, her mobile phone rang.

Luo Hao didn't look at his phone, and while watching Wang Jiani, he picked up his phone and connected the phone.

"Xiao Luo, you're not doing this authentically, right?"

A cold voice came.

(End of chapter)