Director Chen Yan and Director Chen were facing each other at the computer.

In the image on the computer, there was an eye that seemed to be looking at Director Chen Yan's eyes without blinking.

Looking at each other, Chen Yan's hand stroked the heart guard, and a smile appeared at the corner of his mouth.

"Director Pei, don't worry, the diagnosis is very clear, look at these big eyes!"

"What is this?" Director Pei of the Department of Urology was puzzled.

"Hahaha, let me tell you, Director Pei, this is very rare." Chen Yan was proud in his heart, "In our gastrointestinal surgery, we call it the Devil's Eye, or the Meat Sandwich Bun." ”

"What's that?"

"Don't worry about it, I'll look for Xiao Luo to take a look at the rare things." Chen Yan sat on a chair, his legs were too short to touch the ground, and he swayed in mid-air.

In addition, he has a full face and beard, and he looks like a big monkey.

Director Pei of the Department of Urology said dissatisfiedly, "Why are people everywhere saying Luo Hao these days?" ”

"People are amazing!" Chen Yan stroked his beard with a smile and looked at the eyes in the image, "Xiao Luo may not have seen this thing, I have to show him." ”

Director Pei was a little unhappy, feeling that many people were used to the young man named Luo Hao in the intervention department, and he really didn't understand why.

"Director Chen, I don't care, you have to do the operation yourself, you can't let others do it!"

He bites the word "other" very hard, and the meaning is obvious.

"Don't worry, Xiao Luo doesn't look down on this kind of surgery, people are better than me."

"What?"

"Harm, cocooning, I'll take it...... Take it down, Xiao Luo goes up and swishs and it's done, it's amazing. Don't worry, you've come to me, I'm sure I'll do it all by myself. ”

With Chen Yan's promise, Director Pei was relieved.

"Then I'll go, I won't go on stage with you, I'll go and talk to the patient's family."

"Well, don't worry, I'll be in place."

The so-called putting it in place is to repeatedly mention how Director Pei cares, so that the patient's family knows how to appreciate it.

The two had a tacit understanding.

Chen Yan didn't send Director Pei, but looked at that eye with a smile.

Director Feng Zixuan, Director Feng and Luo Hao went to India, and anyone who has a heart knows about this in the first hospital of the Medical University.

Invited to participate in the phase 4 clinical trial of an internationally renowned manufacturer, Director Chen Yan Chen has never seen a similar doctor, and the doctors around him, including himself, have not reached this level.

Director Chen Yan and Luo Hao have contact and get along well, and Luo Hao left an excellent impression on Chen Yan.

Especially that time, Luo Hao asked someone from the manufacturer to send consumables in the operating room, solved the problem of interventional surgery, and was willing to take the risk of "big sky" to let the patient operate safely.

Looking at the "eye" on the screen, a smile appeared at the corner of Chen Yan's mouth.

Smoothing out the heart protection hair, Chen Yan blew a breath, blew off a hair stuck to his hand, and then picked up the landline.

"Xiao Luo? Busy or not? Come to me and show you a rare thing. Chen Yan showed up.

"Okay, I'm about to talk to the doctor in Corey, take a look, and increase the clinical experience."

"Hung up."

Looking at that "eye", Chen Yan was very satisfied.

There is a reason to have more contacts with Luo Hao, there will only be benefits, not harms.

Yesterday, Corey admitted a female patient with intestinal obstruction, and the image was abnormal after the examination, Chen Yan explained to the doctor in the department before going to the operation, which is a very rare "devil's eye".

About 5 years ago, Chen Yan saw a case of "Demon Eye" and was deeply impressed.

Call all the doctors, except for those who are off the night shift and go out, all gathered in the doctor's office.

Chen Yan did not use a computer, but inserted the patient's film into the reader.

"Director, the operating room has taken the patient."

"Okay, talk for ten minutes, I'll do the operation myself." Director Chen Yan Chen said.

"What is this similar intestinal obstruction? The film looks so weird. ”

"Huh." Chen Yan smiled slightly, and his beard and beard were all open, like spears and halberds.

After waiting for two minutes, Luo Hao and Chen Yong rushed over.

"Woo woo~~~"

The sound of whimpering wind came from the hallway.

Luo Hao tilted his ears and felt a little strange, but he didn't care, and went straight to the doctor's office.

But Chen Yong stopped, "Luo Hao, it seems that someone is crying." ”

"Hospital, isn't it normal for someone to cry?" Luo Hao didn't care and opened the door of the doctor's office.

"Xiao Luo, let's take a look." Chen Yan beckoned.

Luo Hao walked in front of Chen Yan, first bowed slightly, politely, and then glanced at the film.

"Huh? Walnuts. Luo Hao was surprised, "How did the patient eat such a big walnut?" ”

Walnut? Hahaha!

Luo Hao is really still young, and when he looks at the film like a walnut, he thinks it is really a walnut.

Chen Yan originally thought that Luo Hao would break through in one sentence - the devil's eye or the meat bun.

Director Chen Yan and Chen were proud, Luo Hao was young after all, and he still didn't see enough rare diseases.

Then again, if Luo Hao knew, what did he do with him?

Right.

"Xiao Luo, sit down." Director Chen Yan Chen smiled, "This is not a walnut, it is gallstone intestinal obstruction. ”

Luo Hao's expression was slightly stunned.

"This disease is rare, and it is more common in female patients, and the male-to-female ratio is about 1:10."

"Oh, the ring-shaped high-density wrapping low-density center, this "meat sandwich bun" or "devil's eye" image feature is the rumored "gallstone intestinal obstruction" in the rivers and lakes! ”

Luo Hao squinted his eyes and watched the film carefully.

The patient's abdominal CT with contrast showed a 3 cm high-density shadow in the distal ileal lumen, with a low-density area in the center, proximal intestinal dilation with distal intestinal collapse, and no signs of biliary pneumata or gallbladder wall thickening.

Ultrasonography of the liver did not reveal any fistulas or gallstones.

If you talk about the Demon Eye, it is indeed a bit similar, but Luo Hao still doesn't think so.

But Luo Hao did not refute Chen Yan, but sat down and quietly listened to Chen Yan talk about "gallstone intestinal obstruction".

"Gallstone intestinal obstruction has an insidious onset and often occurs intermittently at the beginning of the course. For the etiology of the occurrence, the main consideration is the existence of an abnormal passage between the biliary tract and the gastrointestinal tract, which is the pathological basis for the development of gallstone intestinal obstruction. ”

"On the imaging, we can't see the occult passage, so if you encounter similar images in the future, after the obstruction is removed after surgery, you must explore it and try to find the occult anatomical abnormality."

"There are a few things we need to pay attention to here......"

Chen Yan explained.

"Woo woo~~~"

There were cries outside.

This time it was more real, not the sound of the wind whimpering, but the certainty that someone was crying.

Luo Hao listened intently to Director Chen Yan's explanation of gallstone intestinal obstruction, but Chen Yong pricked up his ears to listen to the crying outside, and slapped Luo Hao with his elbow.

"Listen carefully to the class, Director Chen has rich clinical experience, and if you encounter a similar patient after listening, you will not be able to perform surgery and only do half of the operation before stepping down." Luo Hao whispered to Chen Yong.

Chen Yan heard Luo Hao's words and smiled slightly.

Xiao Luo realized his "mistake", what walnut, this is gallstone intestinal obstruction, and the "eye" in the middle is not a walnut but a gallstone.

Not bad.

It would be better if Xiao Luo could help write a thesis, Chen Yan was lecturing while pondering about writing a thesis.

After a few minutes, Chen Yan finished speaking and prepared to go to surgery.

"Woo woo~~~"

When he walked out of the doctor's office, the crying became clear, and Chen Yong followed the sound to look over, as if it was not from the ward, but from the nurse's duty room.

"Director Chen, what's wrong?" Chen Yong asked kindly.

"The doctor ordered nurse Xiao Peng's lover to cheat, and she was crying there." Chen Yan said, strode out of the department, and went straight to the operating room.

Derailment, Chen Yong glanced at the voice, and was dragged away by Luo Hao's arm.

Luo Hao knew that this product must have moved the idea of pity and pity, and wanted to comfort and comfort other people's little daughters-in-law.

Not necessarily.

But Chen Yong is used to this, so Luo Hao dragged him away.

"Don't worry about other people's housework." Luo Hao whispered.

"Cut." Chen Yong was disdainful, but he still reluctantly followed Luo Hao to the operating room step by step.

"Gallstone intestinal obstruction is very rare, if Director Chen's diagnosis is correct, you can take two more looks, and when you go home, you and your master will show up, and your master will definitely know."

As soon as Jiang Wenming was mentioned, Chen Yong stopped looking behind him and strode behind Chen Yan.

Chen Yanren has short legs, although he has been walking in small steps, Luo Hao and Chen Yong followed him very easily.

"Xiao Luo, just now you said that if the diagnosis is correct, do you still have any questions?" Chen Yan said with a smile as he walked, "Young people, you still have to learn more from old comrades in terms of experience." ”

Homosexuals!

Chen Yong thought of Luo Hao's joke on the day of night fishing.

"Yes, Director Chen." Luo Hao said "modestly".

"Walnuts, such big walnuts, cardia and pylorus are trivial, and the elasticity of the esophagus is not large, and it is difficult to swallow it." Chen Yan pointed out the mistakes in Luo Hao's diagnosis as he walked.

Luo Hao didn't say much, but went to the operating room with him.

Changing clothes and going on stage, Luo Hao stood aside and watched quietly.

Laparoscopic surgery, in which the intestine is cut open, the stones are removed, and they are broken and taken out.

Similar intestinal obstruction surgery has evolved from laparotomy to laparoscopic surgery more than ten or twenty years ago, and has become routine.

So much so that now laparotomy is a "special" operation that only experienced old doctors will do.

"Xiao Luo, is India fun?" Chen Yan asked while undergoing surgery.

"It's not fun, it's not recommended." Luo Hao said, "We are all very careful, Chen Yong, just eat some fruit, and you will be infected with the virus." ”

"Oh? So powerful! ”

Chen Yong didn't feel embarrassed, and then said, "Yes, I have always paid attention to it, the water I drink is brought from the 100-year-old mountain from China, and I wash the fruits myself, and I peel all the skins that can be peeled." ”

"That's it, I haven't escaped."

"Tsk." Chen Yan smiled and said, "Two days ago, I had dinner with Director Feng, and he said that he would start to have diarrhea after taking a bath, and he would be sent back to the imperial capital by you one day after he went, and he lived in the Concord and International Department." ”

"Well, Director Feng's situation is a bit dangerous, and I really don't worry about their safety and hygiene in India. Let's put it this way, there are big rats in the operating room, and the largest one has to be 40cm not counting the tail, as if it has become a sperm. ”

40cm！

Chen Yan's hand paused, and subconsciously sketched out in his mind how big 40cm was.

!

It's like becoming a sperm, it's fucking good or not.

"Xiao Luo, did you catch it with your own hands? I can't, I get sick when I see these fluffy, lively things. ”

"No, I don't dare, I found a few cats to catch mice."

"Ha, I thought you weren't afraid."

"I used to be afraid, when I was a child, I went to the field to catch voles, and there was nothing to be afraid of. Then I met a patient who was stuffed with a rat in his rectum and was bitten in the stomach, and I was scared ever since. ”

"......" Chen Yan was stunned.

Mouse, rectum?

Chen Yan has a lot of experience in the diagnosis and treatment of rectal foreign bodies, and any batteries, vibrators, loaches and the like are all very normal items.

But what the hell is a mouse!

There must be an untold story in this.

Chen Yan wanted to ask, but he shuddered at the thought of the rat biting through his rectum and nearby intestines.

Hell yes!

Calm down, Chen Yan began to concentrate on the operation.

Laparoscopic descent quickly finds the location of the obstruction.

Chen Yan skillfully opened the intestines and pinched out the "stones".

Well? Something is wrong.

It doesn't seem to look like a stone.

Chen Yong looked at the TV screen carefully, Gan!

It's not a stone, just like Luo Hao said at first glance, it's a walnut!

Embarrassed.

Chen Yan looked at the walnuts, feeling embarrassed and inexplicable.

I originally wanted Xiao Luo to increase his clinical experience, but I didn't expect it to ...... But he was educated by the backhand.

It's a walnut from a distance, it's a walnut up close, take it out for surgery and take a closer look, me! It's really a walnut!

"Xiao Luo, it's really a walnut." Director Chen Yan and Director Chen were old and spicy, and quickly swept away the negative emotions, as if nothing had happened.

"Look at the density should be walnuts." Luo Hao said.

"Density?"

"Well, there are all kinds of foreign bodies with mechanical intestinal obstruction in the medical record of Xiehe, which I compared when I was in the gastrointestinal clerkship a few years ago."

"......" Chen Yan was silent, and began to ask for a knife, lengthened the incision of the laparoscope, and took out the walnuts.

This thing can't be smashed, it has to be along the mouth.

As for the medical record database of Union Hospital that Luo Hao said, Director Chen Yan and Chen have heard of it.

It is said that almost 100 years of medical records have been preserved, and very few have been lost.

When Luo Hao took out this kind of treasure, Chen Yan didn't know how to deal with it at all.

Taking out the walnuts, Luo Hao began to take pictures.

It seems that he is also very interested in this kind of case, Chen Yan eased up, and after suturing the intestines, he felt much better, and it was not without gain.

I am not ashamed to lose to the centennial heritage of Concord.

"Xiao Luo, speaking of the medical record library, you doctors are very serious about writing medical records." Chen Yan asked.

"Bad, don't mention it. Like our hospital, the internal medicine department is okay, and the surgery department basically does not write medical records. Luo Hao said while taking pictures.

"I'm in the critical care rotation, and sometimes the patients who are thrown in by the surgery don't even have a record of the operation, and they are now making up for it when they are discharged, which is similar to ours here. Be a doctor, who wants to write medical records. ”

Chen Yan laughed.

Luo Hao can be regarded as "exposing his ugliness", but the last sentence said to Chen Yanxin's nest.

Be a doctor, who wants to write medical records.

"It's better to be in India, you don't have to worry about it so much, just have surgery. I looked at the patient after the operation, and the patient was so moved that he almost knelt down and kissed my feet. ”

After Luo Hao left more than a dozen photos from different angles, Chen Yan asked, "Xiao Luo, are you going to post an article?" ”

"Just walnut words...... I guess it's enough to choke. If it's a dozen walnuts, it's still possible. A few years ago, there was a case report in the New England Journal of a patient who swallowed a 5 pound iron nail. ”

“……”

Chen Yan sighed in his heart.

Thinking back to sitting in the director's office staring at the "Demon Eye", who would have thought that it would be a walnut.

However, the operation went smoothly, it was not gallstone intestinal obstruction, and there was no need to explore, and there was no need to find a hepatobiliary surgeon for consultation, and the operation was successfully completed.

"Xiao Luo, when the patient recovers, you can help make a gastroscopy and take a look at the esophagus." Chen Yandao.

"Well, it's still necessary to take a look."

Luo Hao readily agreed.

Mr. You sent the patient back to the ward, and Chen Yan chatted with Luo Hao for a long time when he went to change clothes.

The customs and customs of India and the tatters of chain hospitals all made Chen Yan a little surprised.

"I said, it's not that easy to get free medical care. The ass determines the head, and the words are not rough. Chen Yan sighed, "But the operating room is all in tatters like that?" Sterility no one cares? ”

"Running rats everywhere is worse than ours in the eighties of the last century." Luo Hao said, "But the private hospital over there is really good, the living person I pulled out of the pile of dead people was later sent to the private hospital." Let's put it this way, the conditions are good, and even my family association and the international department can't compare. ”

"Tsk."

"Don't listen to their nonsense, there are still a lot of people in India, the official says that there are 1.4 billion, I observe it, I feel that 2 billion can't be beaten."

Chatting and chatting, several people stepped down and returned to the ward.

Luo Hao just wanted to say goodbye, but saw three people rushing out in a hurry.

"Sister Li." Luo Hao greeted the head nurse.

"Hmm." The head nurse glanced at Chen Yan, Chen Yan felt embarrassed and stroked his beard.

Luo Hao's mind was clear, and he said with a smile, "Director Chen just had surgery, and he is still busy, if he needs manpower, Chen Yong and I will go to help?" ”

Chen Yan sighed.

Luo Hao, this young man is really sensible, he hurriedly said, "Xiao Luo, don't make a big fuss!" When the time comes, you stop, by the way, pay attention to your own safety. ”

"Okay, Director Chen, don't worry."

Luo Hao and Chen Yong followed the head nurse and the other three to leave.

The one who was crying was the nurse Sister Peng, and she was the one who had been crying before.

There was also a young and strong nurse who followed.

"Sister Li, what's going on?" Luo Hao understands the situation first, which is similar to asking for a medical history.

"Don't mention it, isn't your Sister Peng and her husband in business, business has not been easy to do in recent years, you know."

"But he travels once a month, for a little more than a week at a time, and it's still like that. So your sister Peng began to suspect, mainly because every time the old guy said that he was on a business trip, he didn't answer the phone after he went out, and he didn't reply to WeChat! ”

"You say, can you be okay?"

Luo Hao scratched his head, as if something was really wrong.

"Later, Sister Li." Luo Hao asked.

"Later, your sister Peng began to ponder, a woman's intuition is very accurate, and she found that her husband bought a house in the suburbs, and every time he said that he was on a business trip, he actually went to that house." The head nurse said angrily, "Raise a junior outside!" Dog man! ”

"......" Luo Hao spread his hands.

You really have to pull it and don't make it too big.

It's a big deal to get divorced, or just turn a blind eye, in short, don't kill anyone.

"Not necessarily." Luo Hao comforted.

"Xiao Luo, you still help to say good things, men don't have a good thing." The head nurse was already angry and began to scold the bald lady in front of Luo Hao.

Luo Hao didn't feel embarrassed, laughed, and looked sideways to see Chen Yong's eyebrows dancing when he was already chatting with the little nurse.

Indeed, there is no such thing as a good thing.

"Xiao Luo, I didn't mean you, you are a good person."

"Don't mind, Sister Li, I'm not a good thing."

Between a man and nothing good, Luo Hao made an instinctive choice.

"Ugh." The head nurse was teased by Luo Hao and calmed down, "Tell me, your Sister Peng was 23 or 4 years old when she married him, and he was mostly 30 at that time, and he was still a widowed old bachelor, and the old cow ate tender grass." You men are really teenagers to death, and you like 18. ”

Luo Hao thought about it and remained silent.

In fact, there are also people who only like to have surgery.

"How old are they! It's almost 50, and it's still so flowery, and sooner or later it will die on a woman's belly! The head nurse scolded.

Luo Hao smiled, "Isn't this the development of science and technology, and all kinds of medicines are available, so it is inevitable." If you put it in the past...... In other words, if you change to another hobby, it may be quite miserable. ”

Chen Yong glanced at Luo Hao and knew that this product was going to change the topic.

"My boss likes fishing, and his wife basically can't find anyone. A few days ago, I went to the imperial capital, and I accompanied him to night fishing, and sat in the grave circle, and I was not afraid of haunting. ”

"Night fishing? Is it safe? ”

The head nurse's attention was really attracted by the grave circle, night fishing, and the like.

"It's okay to be safe, now the law and order is good, and the boss has guards." Luo Hao replied, "It's just that when I was fishing at night last time, there was a woman in red sitting across the wild lake, who was also fishing, looking weird. ”

The head nurse's attention was completely drawn.

Saying that, a few people got into the car and sat in Luo Hao's car.

Squeeze it, and you can sit down.

And Luo Hao's logo 307 doesn't look big, in fact, the internal space is much larger than the ordinary 307, and you can sit down.

"Xiao Luo, your car is quite spacious."

"I'm trying to change it."

"Change what?"

"Audi's new drone headlights look pretty cool."

Luo Hao led the topic to the lighter side, asked Sister Peng's address, and navigated over.

Along the way, Luo Hao began to tell various stories again, especially the incident in Fuwai Hospital, which was told by Luo Hao so vividly that even Sister Peng stopped crying.

Let's talk about driving, Luo Hao is serious; Let's be serious, take out a curly black hair from my throat, how bad it sounds.

However, Luo Hao smoothly diverted everyone's attention and eased the tense atmosphere a lot.

Coming to the downstairs of the suburban community, Luo Hao parked the car.

"Sister Peng, you stand behind and wait, Chen Yong and I will go in." Luo Hao advised, "Sister Li, you hold Sister Peng, don't make a big fuss." ”

"Chen Yong, get ready to take a picture."

"By the way, don't post photos randomly, you must do a good job of confidentiality!"

"Luo Hao, how do I feel that you are experienced?" Chen Yong frowned and asked, "Do you need to take a good p-p?" ”

"Don't make a fuss, I'm serious."

"And then?"

"And then? It depends. Luo Hao said, "I heard Uncle Sun say a few gossip, a man caught his wife in bed, and after taking the photo, he told the adulterer that he would take a hundred big pockets of his lover and delete the photos, each two widths. ”

"That's it?"

"Well, after he was done, he deleted the photos and videos, and as a result, the woman couldn't stand it anymore and stabbed the adulterer more than 20 times."

"This is the legendary murder with a knife?"

"Also, a while ago, a certain woman suddenly went crazy and posted a small video to all the work groups."

"I remember that it was her husband's doing." Chen Yong said, "This trick is ruthless, and it will die directly." ”

"Between men and women, you said that little thing, I think it makes sense."

Listening to Luo Hao's gossip, the eyes of the head nurse, Sister Peng and the other three were straight.

There are so many ways to do it.

This is a hundred times stronger than scratching and scratching.

"But I suggest that no matter what you do, Sister Peng should calm down for three days."

"Ahh Sister Peng suddenly exclaimed.

"What's wrong?"

"I forgot to call the locksmith, I'll call."

"No, Sister Peng." Luo Hao scratched his head, "For surgeons, it is not difficult to open the door. ”

？？？

Upstairs, Luo Hao smoothed a wire and showed the "technical ability" of opening the door of the half-pulled community with a pack of instant noodles.

With a click, Luo Hao breathed a sigh of relief.

There is no popping, ahhhh

Luo Hao raised his hand and made a silent gesture to his lips, and then opened the door.

Two tall figures appeared in front of him, and Luo Hao's hands stiffened.

(End of chapter)