"Little Snail, the level is good."

Luo Hao walked out of the operation room, and Boss Chai praised him.

"It's okay, mainly because this type of patient is suitable for PTCD." Luo Hao smiled.

"Dr. Xiao Luo, I said before that ERCP can be indwelled with double drainage, you're not kidding. Really? Zheng Siyuan asked calmly.

"No kidding, if I have the right patient, I can try to make one."

Try it, make one.

Zheng Siyuan was full of confidence in Luo Hao's words.

Teaching surgery, at your fingertips, is not ambiguous at all, just like doing an ordinary gastrointestinal endoscopy.

How confident do you have to be to say such a thing? Zheng Siyuan fell into deep thought.

The patient was sent away, and Luo Hao was refreshed.

Chen Yong's burden is much lighter after being able to use it, and as long as the time control is good, it will not have a long negative effect.

"Boss, it's time to send you home." Luo Hao said.

"Let's go, take a look at the post-operative patient, go home and sleep." Boss Chai's eyes were full of joy, overflowing with words.

"Xiaoluo, I didn't expect your PTCD level to be really good, and it is one of the best in similar surgeries I've seen."

"Boss, I still have room for improvement, wait for me to think more and show you."

Luo Hao was not polite, but drew a big cake for Boss Chai.

Boss Chai eats this set, smiling with a lovely smile, and is happier than a thirteen-pound big carp thrown up by a rod at night.

The patient is in good postoperative condition with slight signs of peritonitis on abdominal examination, but this is to be expected.

After all, the patient's bile duct was punctured, and bile entered the abdominal cavity, and the bile stimulated signs of peritonitis.

After PTCD surgery, the bile duct and tumor were supported by a membrane stent, and the "hole" has been repaired.

In the short term, the patient's condition should improve.

Because the patient is already "terminally ill" and belongs to the terminal cancer patient, it is important to improve the quality of life in the last moment.

From the point of view of not seeking healing, but only seeking to improve the quality of life, it can be said that the purpose of the operation has been achieved, almost perfect.

After seeing the patient, Luo Hao sent Boss Chai home, and then he and Chen Yong went to the hotel.

"Luo Hao, I'm amazing!" Chen Yong only relieved his strength at this time, and the previous tension disappeared, and he asked arrogantly.

"Of course, I've said it, you're very good." Luo Hao praised from the bottom of his heart.

"Let me tell you, if you have time, you can also go to Station B to have a look, there is everything!"

"Okay, I'll take a look when I have time."

"Luo Hao, when do you think I can do the main steps?" Chen Yong asked.

Luo Hao groaned, "Seeing that you are making rapid progress, I estimate that there will be a period of time, liver cancer...... You can do complex liver cancer surgery, and simple PTCD can also be done. ”

"Isn't this okay today?"

"Nope." Luo Hao said, "Today, this kind of patient is unwilling to be accepted by all hospitals in the country, if it weren't for Mr. Zheng coming to Director Qin to complete a technical breakthrough, it would be difficult for Xiehe to accept it, so he could only go to the hospice ward." ”

"It's too late for cancer, there's no way." Chen Yong sighed.

Although he was sighing, Luo Hao noticed that Chen Yong's fingers were twisting, his eyebrows were fluttering, and he was not frustrated at all.

When was your first successful surgery? Luo Hao reminisced while driving.

It should be 8 years ago, I went to the stage with my teacher for the first time to have an appendectomy, and I completed a laparoscopic appendectomy by myself, and I seemed to be ecstatic.

Back at the hotel, Luo Hao finished washing and lay down on the bed and looked carefully at the system panel.

[Emergency Mission: Forge ahead has been completed.]

Description: Emergency surgery to treat patients with hilar bile duct fistula.

Mission duration: 5 hours.

Rewards: +1 free attribute points, +2 random attribute points. 】

Random attribute points are added to the spirit by the system, and Luo Hao adds free attribute points to luck.

78+4。

There are benefits to improving mental power, but Luo Hao hasn't gotten used to it, and he always feels that he can hear more voices.

After nearly 1 hour of sleepiness, Luo Hao fell asleep.

……

"Zheng Siyuan, can you do it?" Qin Chen frowned and looked at the screen.

His sterile cap had been crumpled and messed up, and the big back underneath was probably out of shape for a long time.

Qin Chen, whose head can be broken, blood can flow, and his hairstyle can't be messed up, is finally messed up.

"I'm sure I can't, and neither can you, it's better than me." Although Zheng Siyuan's appearance was plain as usual, there were already bloodshots in his eyes, and he looked a little haggard.

"Years ago, I heard you brag that you said that assistants can do it, and I knew in my heart that there was a fake, so I went to Donglian City to take a look at Luo Hao."

"What do you mean by bragging! Which of my words is false? Besides, I'm not as good as you? How dare you brag. Qin Chen said unhappily.

"Every sentence is true, but together it is a lie. Don't talk about this, Luo Hao told me about the operation process at that time, and I studied it in the past few months and benefited a lot. ”

Qin Chen glanced at Zheng Siyuan deeply.

His mental journey is exactly the same as his own.

Damn, how nice it would be if it weren't for the narrow alleys fighting for an academician seat, this kind of person should have a lot in common when he is a friend.

"At that time, I thought that Xiao Luo's surgical level should be a little higher than mine. Looking at it now, he should be a lot taller than me. ”

Zheng Siyuan said the words that he had been holding in his heart, and let out a long breath, feeling stunned in his heart.

"ERCP is placed with double tube drainage, I guess Luo Hao also wants to do the same as South Korea and the United States, first down one side, and then down the other side, the stent is superimposed, and flattened with a balloon." Qin Chen gave up the feeling of sympathy with Zheng Siyuan and began to study surgery.

"It's really wrong to do this, but there is no better way to do it now, but to do it this way."

Zheng Siyuan added.

"Luo Hao probably does the same, Professor Zheng, what do you think is the probability of Luo Hao's successful operation in the face of large tumor compression and blockage?"

"Let's open five-five." Zheng Siyuan thought about it and gave a rather cautious figure.

"Are you sure?"

"I'm in the magic capital, and I have a lot of exchanges with the Korean side, and I have witnessed them doing related projects throughout the whole process."

"Is that the subject?"

"Well, that's the subject." Zheng Siyuan knew that Qin Chen understood what he meant, and he was not verbose, "They are particularly interesting to do projects, patients who fail the operation are not counted directly, only the patients who have successfully operated are counted." ”

"No wonder, I said that no matter how small the place in Korea is, there shouldn't be so many related patients."

"Five-five is their data, even a little lower than five-five. For this kind of surgery, I think it is better to either leave one side for drainage or do PTCD. ”

"Professor Zheng, what you said is not right." Qin Chen retorted, "The tumor is big, and PTCD can't be done." ”

"Luo Hao did it." Zheng Siyuan stretched out the middle finger of his right hand and put on his glasses.

I couldn't talk a word this day, Qin Chen didn't like Zheng Siyuan, especially when he stretched out his right middle finger to top his glasses in front of him, as if he was comparing his middle finger with himself.

"Luo Hao, I happened to do it." Qin Chen retorted with disgust.

The relationship between the two is delicate, and there is the fiercest competition in the sympathy, the survival of the discipline and the pioneering spirit, and the two grandmaster-level senior surgeons in the north and south have a heated discussion.

"By the way, is the issue of South Korea still continuing?" Qin Chen suddenly asked.

"No, quit, go to military service." Zheng Siyuan said.

……

Luo Hao didn't know that Qin Chen and Zheng Siyuan had hardly slept all night, and even if they knew, it would definitely not affect Luo Hao's sleep.

Early the next morning, Luo Hao woke up, opened the curtains and saw the busy traffic outside, thinking that this was what the world should be.

India should be forgotten as soon as possible, Luo Hao thought to himself.

But that side is indeed a paradise for new techniques and new medicines, and it is like Qin Chen and Zheng Siyuan who want to do some research and have to be cautious.

Director Qin Chen and Director Qin should be advised to go to India, and after this thought came to Luo Hao's mind, he smiled.

took a hot bath, Luo Hao was comfortable to the bones.

Energetic and went to breakfast, Luo Hao saw Chen Yong.

Chen Yong's spirit was already bursting, his eyes were shining, and it was obvious that the first time he reached out to do PTCD yesterday and completed it perfectly gave Chen Yong great encouragement.

"Luo Hao, you're up too."

"Well, Director Qin is going to take me to visit the judges today." Luo Hao said, "Go through the process." ”

"Are you qualified?"

Chen Yong asked.

"Generally, when the score reaches 90, it depends on the relationship with the judges. My rating should be 99, as long as it doesn't give the judges the impression of being unruly.

Even if the impression is not good, the hard standard is enough, and it is difficult to take me off. It is estimated that the old minister was afraid of accidents, so he urged Director Qin to take me to brush my face. ”

"Why is there still one point missing?" Chen Yong asked.

"There is no perfect score option, and the full moon is a loss, the old tradition of our Chinese." Luo Hao began to pick up vegetables.

He didn't eat much, two poached eggs, a bowl of porridge, and two plates of small pickles.

"Just go through the process? That didn't require Qin Chen to brush his face. You don't know, every time I see his big back, there is background music in my head. The God of Gambling is high in and out of the field, but Qin Chen ......"

"Director Qin likes it, being a doctor, he is very energetic, and the trust of patients is also a little higher. I've met some sloppy doctors, the level is quite high, but the senses are not good, and the patients have little trust. ”

"Look, I'll just say that everything depends on your appearance."

Luo Hao glanced at Chen Yong.

Chen Yong didn't have a smug expression, it seemed that he was just telling a most ordinary thing.

This concept has been engraved in Chen Yong's bones.

Luo Hao smiled, "How was your blind date?" ”

"Blind date?" Chen Yong was surprised, "Why do you still care about this." ”

"Look at how much money you make." Luo Hao said with a smile, "Some time ago, a classmate of mine drove a car to travel with the elderly, and he had a little problem with his knee joint, but it was not central, and he wanted to hit Shi Peite." ”

"I went to a tertiary hospital, and the orthopedic outpatient doctor directly prescribed a 6,000 yuan injection of medicine."

"Crazy!"

"My classmates said that I was from Concord, so I wanted to get a shot of Spit. So, it's better to have some money than no money. ”

"The blind date is also very messy, there is a buddy, who belongs to the kind of cheating." Chen Yong looked disdainful.

Luo Hao understands, Chen Yong doesn't have to be deceived, he is the one who is deceived.

"Once I was fooled and rented a Mercedes-Benz, but the woman had a connection with the car rental company and earned a commission. Don't let it be touched, inside and out, it lost more than 4,000. Now who is still married, you say. ”

"Then you ......"

"Me? I am a Taoist priest. Chen Yong said naturally, "If you don't believe me, I'll let you die and go to hell!" Believe me, the benefits are great. ”

"You guys?"

"Believe it or not, don't delay Lao Tzu's ascension to immortality."

Saying this, Luo Hao really couldn't refute it.

Before he finished eating, Qin Chen's phone called, emergency surgery.

Luo Hao glanced at the system panel, and the system did not issue a task.

It's a bit of a pity.

Luo Hao knew that Qin Chen was because of his own words yesterday, so he found a similar patient to see how he did it.

Luo Hao has already repeatedly studied the related surgery in the system operating room, and with the completion of the long-term main line task and the improvement of the surgical level, Luo Hao has a great certainty.

It's a pity that my surgical level is already very high, and the long-term main task promulgated by the system will not directly improve the surgery one by one.

But it's enough.

"Luo Hao, are you still having PTCD surgery today? Can you give me a try? Chen Yong is already eager to try.

"No, do it with an endoscope today."

"Endoscopy? Is it the kind of surgery that Qin Chen and Zheng Siyuan tried yesterday, but the operation failed and pierced the bile duct? ”

"Hmm."

Chen Yong's body glowed with a layer of light.

This kind of pretending to slap his face, Chen Yong likes it the most.

"Luo Hao, you must easily complete the operation this time!"

"Hard, the surgery is hard. But that's only for endoscopists. ”

Chen Yong's eyes lit up, although Luo Hao said politely, it was limited to the first half of the sentence.

"You think, operate the guidewire of point 18 into the blood vessels, and overselect the capillaries of grade 3 and 4, you can do it occasionally."

"Hmm." Chen Yong nodded.

What Luo Hao said occasionally can only be objectively described, it is a fact, he can indeed only overselect level 3 blood vessels, and level 4 blood vessels have to try their luck.

"Gastroscope, colonoscope, how thick that thing is, poke it directly. The esophagus, intestinal tube, and capillaries are not comparable at all, and in our opinion, the surgery is actually not that difficult. ”

"Luo Hao, I appreciate your appearance of pretending to be forced in front of me and attacking hard, and submissive in front of others." Chen Yong sneered.

"Oh, I said this to Director Qin and Professor Zheng yesterday."

“！！！”

Chen Yong's eyes were bright.

"That's why Director Qin is so interested, hurry up and find a relevant patient, let me show it."

That's right.

Chen Yong is a little difficult to distinguish between the real and the fake.

But it doesn't matter what you say, it mainly has to fall on the surgery.

The audience said that the sky was wild, and the stage was directly dumbfounded, this kind of person is not nothing, and it is not very rare.

After eating, he came to the hospital and went straight to Qin Chen's office.

Luo Hao wants to see the patient first.

Advanced cholangiocarcinoma, yellow stem, liver failure.

Without surgery, the patient would not survive for a week. I talk a lot a week, and I can stay up for about 3 days at most.

Moreover, Luo Hao noticed that this patient failed to try PTCD in the interventional department in the field, and the patient's family was unwilling, so he came to the imperial capital to seek medical treatment.

There are countless similar patients, after all, this is the last stop of medical treatment in the country.

"Xiao Luo, are you sure? Don't just brag. "Qin Chen is still the same.

"Okay." Luo Hao replied with a smile, "Let's prepare for surgery." ”

"Don't block the bile duct when the stent falls down."

"Director Qin, don't worry, I have it in my hands."

Qin Chen knew Luo Hao's temper, this thing was gentle and gentle, no matter what he said, he would definitely not be angry.

The key is that Luo Hao will not be soft when he moves.

It's like the surgery I did at the first hospital of the Medical University a few years ago.

What was the situation at that time, Qin Chu was like a mirror in his heart.

Look.

The patient was sent to the endoscopy room, and a set of procedures was walked down, which took nearly 2 hours.

Among them, the preoperative explanation accounted for most of the time, and Luo Hao was a little helpless about it, and even began to miss his life in India.

If you really want to brush the amount of surgery, India is the best place to go, and there is no one.

Luo Hao didn't speculate, with that kind of effort, it was better to have a few more surgeries.

Brush your hands and get on stage.

Through the leaded glass, Qin Chen looked at Luo Hao silently.

"Director Qin, do you guess that Dr. Xiao Luo will go down to the left or the right first?" Zheng Siyuan asked.

He pulled a chair and sat in front of the screen in the operator's room, grabbing the best position.

Even in Qin Chen's home field, Zheng Siyuan didn't let it at all.

Qin Chen didn't fight like a child, he stood behind Zheng Siyuan with his hands in his arms and looked at the screen.

"I think I should do the left side first, because from a surgical point of view, ......"

Qin Chen said his understanding again.

Zheng Siyuan smiled slightly, "Director Qin, you still don't know Doctor Xiao Luo, with my understanding of him, you should do the right first." The advantage is that when the stent falls off the stent, it has less impact on the biliary tract. ”

"It's impossible, it's too difficult to do the right side first."

"It's hard, it's just that you think it's hard."

"Don't you find it difficult?"

Before the operation began, the two had already quarreled.

The technicians and nurses in the operating room bowed their heads and were silent, busy.

Although Director Qin Chen and Director Qin are his immediate bosses, no one else can participate in this kind of quarrel.

It's noisy.

Voices came from the operating room next door.

"Didn't you not let you eat! The nurse didn't tell you? One of the professors said angrily as he walked out.

Then he opened the door and called out to the patient's family.

"I told you so clearly yesterday, don't give food to the patient, no water!! Who fed the custard this morning! ”

"I'm feeding, what's wrong!" A patient's family member shouted at him with confidence, "What is my dad's illness, give laxatives, don't let him eat, good people have to starve to death!" ”

"What's wrong with eating, just eat a bowl of egg custard, and you can't see it?!"

"Quack!"

Zheng Siyuan glanced at Qin Chen.

Qin Chen walked out of the operation room, "Xiao Liu, I will be discharged from the hospital automatically." ”

After speaking, Qin Chen came back, closed the door, and separated himself from the hustle and bustle outside into two worlds.

"Director Qin, you're also quite messy here."

"Nonsense, as if you weren't messing around." Qin Chen pouted, "This kind of unreasonable patient's family members are everywhere, which confirms the diversity of species. ”

"When I was younger, I met a patient who was a nurse in our department. The director wanted to give her a gastroscopy, but because she was an undergraduate nurse, she didn't explain much. When the time came, the director went to the nurse's duty room to call her to the stage, and saw the nurse holding the fragrance of Langwei Xian's food. ”

"You nurses?!" Qin Chen asked suspiciously.

"Hehe, I can't think of it." Zheng Siyuan said with a smile, "I didn't understand it at the time, but later it was estimated that the nurse was scared and didn't dare to say no, so she made an extremely stupid choice." ”

"Stupid hanging!" Qin Chen reprimanded.

If so...... Zheng Siyuan was a little unhappy, he was just about to turn around and quarrel with Qin Chen, but as soon as the screen lit up, Luo Hao had already finished the pre-steps and started to make pictures.

Zheng Siyuan forgot about arguing with Qin Chen and looked at the screen intently.

The operation is indeed very skilled, if you don't know that it is Luo Hao's main surgery, just looking at the surgical process, I would think that it is a big bull who is in the year of fighting.

Should Luo Hao go down the bracket from the left side first, or from the right side first?

Zheng Siyuan fell into deep thought, looking at the screen in a trance.

Suddenly, Qin Chen behind him touched him.

"What?" Zheng Siyuan asked.

"Look up."

Zheng Siyuan just wanted to say something, but when he raised his head, the whole person was stunned.

Luo Hao's assistant is fitting two membrane stents into the ERCP catheter.

After glancing through the lead-made glass, Zheng Siyuan decided that Luo Hao chose a 10F catheter.

3.3mm in diameter!

Stuffed with two stent with membrane inside?!

It can be stuffed in, but how does Luo Hao want to operate it?

Is it easy to save trouble or because of what?

Zheng Siyuan was stunned all of a sudden, the same as him was Qin Chen.

Watching Luo Hao's assistant put the two stents with membranes into them, Qin Chen's whole person fell into chaos and couldn't extricate himself.

This kind of operation has never been seen before!

The 10F catheter sends a stent into it and also tests the surgeon's technique, which is quite a rare thing.

Those who can do this are the top technology in China.

But why did Luo Hao install two stents with membranes in it?!

The operation room was extremely quiet, and even Qin Chen and Zheng Siyuan could faintly hear their own heartbeat.

Before the operation, the two were still guessing whether Luo Hao would have to pass the left bile duct or the right bile duct first.

But it turns out that Luo Hao should want to open both bile ducts at the same time!

What is this operation?

It must be wrong, it must be, Qin Chen thought in his heart.

Maybe Luo Hao's little assistant didn't do a similar operation, and panicked and stuffed the two stents with membranes into the 10F catheter.

Thinking about it, Qin Chen's hand fell on the button of the walkie-talkie.

But just as he was about to exert his strength, Qin Chen didn't move, and his hand hung on the walkie-talkie and didn't move.

Is Luo Hao's little assistant wrong, or is he wrong?

"Click~"

Qin Chen pressed the walkie-talkie, but did not speak.

"Luo Hao, the two stents with membranes are a little tight, it will affect the operation." Chen Yong's voice came out.

"Harm, not really." Luo Hao said very casually, "You will know that you will be proficient in the application of Dianyiba's guidewire to superselect level 4 blood vessels in the future, but in fact, the difficulty is not high." ”

Difficulty......

Not high......

After hearing Luo Hao's evaluation, Qin Chen almost kicked open the airtight lead door and went in to scold Luo Hao.

If he hadn't gone to the provincial capital for the annual meeting a few months ago, Qin Chen would definitely do it.

But now, Qin Chen fell into deep thought.

Maybe, maybe, maybe, Luo Hao can really do it.

"Prepare, you concentrate, don't think about uselessness. The main thing is to use the 10F catheter as a point-18 guidewire, you watch me do it first, and then when I finish it, you try the feel. ”

“……”

The two Grandmasters of the North and South fell silent.

(End of chapter)