White armor

Chapter 145 From the perspective of interventional doctors, it is as wide as the sea

"Xiaoluohao, good level."

When Luo Hao walked out of the surgery room, Boss Chai praised him.

"It's okay, mainly because these patients are suitable for PTCD." Luo Hao smiled.

"Dr. Xiao Luo, you said before that ERCP can indwell double drainage. Are you kidding me. Is it really possible?" Zheng Siyuan asked calmly.

"No kidding, if there are suitable patients, I can try to make one."

Try and make one.

Zheng Siyuan could hear full confidence in Luo Hao's words.

The teaching surgery is easy to learn without any ambiguity, just like an ordinary gastrointestinal endoscopy.

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

From the perspective of never seeking recovery, but only seeking to improve the quality of life, it can be said that the purpose of the surgery has been achieved, almost perfectly.

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

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

Chen Yong's burden has become much lighter after using it. As long as the [Flow] mode is turned on and the time is controlled well, it will not have long-lasting negative effects.

"I definitely can't do it, and neither can you. You're not as good as me." Although Zheng Siyuan looked calm as usual, there were bloodshot eyes in his eyes, and he looked a little haggard.

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

Task time: 5 hours.

"Let's go and take a look at the post-operative patients, then go home and sleep." Boss Chai was filled with joy, which was beyond words.

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

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

……

"No." Luo Hao said, "Today, all hospitals across the country are unwilling to accept patients like this. If Teacher Zheng hadn't come to Director Qin to complete a technical breakthrough, it would be difficult for Union Medical College to accept them and they would have to go to hospice care. Ward.”

The patient was in good condition after the operation, and there were slight signs of peritonitis on abdominal examination, but this was expected.

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

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

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

78+4.

Qin Chen, whose head can be broken and blood can be shed, but whose hairstyle cannot be messed up, finally got messy.

"Of course, as I said, you are very powerful." Luo Hao praised sincerely.

"The cancer is late, there is nothing we can do." Chen Yong sighed.

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

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

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

There are benefits to improving mental power, but Luo Hao hasn't adapted yet, and he always feels that he can hear more sounds.

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

After Ptcd surgery, the bile duct and tumor were supported by covered stents, and the "loopholes" have been repaired.

"Xiaoluohao, I didn't expect your ptcd skills to be really good. It's the best among similar surgeries I've ever seen."

[Emergency mission: The trouble caused by Forge ahead has been completed.

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

Mission reward: free attribute point +1, random attribute point +2. 】

His sterile cap has been rubbed into a mess, and the big back of his head underneath is probably out of shape.

After nearly an hour of drowsiness brewing, Luo Hao fell asleep.

Luo Hao pondered, "Looking at your rapid progress, I estimate that in a while, liver cancer... you will be able to master complex liver cancer surgeries, and you can also perform simple ptcd."

Boss Chai just did this, with a big smile on his face, and he was happier than fishing for a 13-pound giant carp at night.

Because the patient is already "terminal" and is a terminal cancer patient, improving the quality of life in the final period is the key point.

"Luo Hao, am I awesome?" Chen Yong finally calmed down and asked arrogantly. The previous nervousness was gone.

"I'm telling you, if you have time, go to Station B and have a look. You'll find everything you need!"

Luo Hao was not polite and drew a big pie for Boss Chai.

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

It must have been 8 years ago that I went on stage with my teacher to perform an appendectomy for the first time. I completed the laparoscopic appendectomy myself, and I seemed to be ecstatic.

"Isn't this okay today?"

"Years ago, I heard you bragging that you could do anything as an assistant. I knew it was a lie, so I went to Donglian City to take a look at Luo Hao."

"What do you mean by bragging! Which of my words is a lie? Besides, am I not as good as you? You really dare to brag." Qin Chen said unhappily.

"Every sentence is true, but together they are lies. Not to mention this, Luo Hao told me about the operation process at that time. I have studied it in the past few months and I have benefited a lot."

Qin Chen took a deep look at Zheng Siyuan.

His mental journey was exactly the same as mine.

Damn it, how great it would be if they weren't fighting in a narrow alley to compete for an academician seat. If such people were friends, they should have many topics in common.

"At that time, I thought that Ronaldinho's surgical skills should be a little higher than mine. Looking at it now, he should be much higher than me."

Zheng Siyuan spoke out the words he had been holding back in his heart, sighing, feeling lost in his heart.

"Ercp is installed with double-tube drainage. I guess Luo Hao also wants to do the same as South Korea and the United States. First one side is removed, and then the other side. The stents are stacked and flattened with a balloon." Qin Chen gave up the feeling of sympathy with Zheng Siyuan. , began researching surgery.

"It is indeed inappropriate to do this, but now there is no better way, we can only adopt this method."

Zheng Siyuan added.

"Luo Hao probably does the same thing. Professor Zheng, what do you think is Luo Hao's chance of successful surgery when a large tumor compresses and blocks it?"

"Let's go for five to five." Zheng Siyuan thought for a while and gave a very cautious number.

"Are you sure?"

"I was in Shanghai and had more interactions with the Korean side. I also witnessed the whole process when they were doing related projects."

"That subject?"

"Well, it's that topic." Zheng Siyuan knew that Qin Chen understood what he meant, so he didn't hesitate, "The topic they did was particularly interesting. Patients with failed surgeries are not counted directly. Only patients with successful surgeries are counted."

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

"50/50 is their data, which is even lower than 50/50. For this kind of surgery, I think it would be better to either leave unilateral drainage or do PTCD."

"Professor Zheng, what you said is wrong." Qin Chen retorted, "The tumor is so big that ptcd cannot be used."

"Luo Hao did it." Zheng Siyuan stretched out his right middle finger and raised his glasses.

They couldn't talk a word that day. Qin Chen didn't like Zheng Siyuan, especially when he extended his right middle finger to hold up his glasses in front of him, as if he was gesturing with his middle finger.

"Luo Hao, I did it by chance." Qin Chen retorted while holding back his nausea.

The relationship between the two is subtle, and while they cherish each other, they also have the fiercest competition. The two master-level surgeons from the north and the south have a heated discussion about subject survival and pioneering.

"By the way, is the Korean issue still going on?" Qin Chen suddenly asked.

"No, I'm on strike and going to serve in the military." Zheng Siyuan said.

……

Luo Hao didn't know that Qin Chen and Zheng Siyuan had stayed up almost all night. Even if they knew, it would never affect Luo Hao's sleep.

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

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

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

Director Qin Chen should be advised to go to India. Luo Hao smiled after this idea came to his mind.

After taking a hot shower, Luo Hao felt comfortable to the core.

Luo Hao went to have breakfast in high spirits and saw Chen Yong.

Chen Yong was full of energy and his eyes were shining brightly. It was obvious that yesterday he stretched out his hand to do ptcd for the first time and completed it perfectly, which greatly encouraged Chen Yong.

"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, a score of 90 depends on the relationship with the judges. My score should be 99, as long as it doesn't leave the judges with an unruly impression."

Even if the impression is not good, the hard standards are enough and it will be difficult to remove me. Probably because the old minister was afraid of an accident, he urged Director Qin to take me to have my face cleaned. "

"Why is it still one point short?" Chen Yong asked.

"There is no option for perfect scores. If the moon is full, it will be lost. It is an old Chinese tradition." Luo Hao started to pick up the food.

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

"Just go through a process? That doesn't require Qin Chen to brush his face. You don't know, every time I see his big back, there will be background music in my mind. The God of Gamblers is in and out, but Qin Chen..."

"Director Qin likes it. Doctors are very energetic and trustworthy among patients. I have met some sloppy doctors. Their skills are quite high, but their senses are not good, and patients have little trust. "

"Look, I just said that no matter what you do, it all depends on your appearance."

Luo Hao glanced at Chen Yong.

Chen Yong didn't look proud, and seemed to be just telling the most ordinary thing.

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

Luo Hao smiled and said, "How was your blind date?"

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

"Look how much money you make." Luo Hao smiled, "Some time ago, a classmate of mine drove an old man on a trip. He had a small problem with his knee joint, but it was not central. He wanted to beat Specter."

"I went to a major tertiary hospital, and the orthopedic clinic doctor directly prescribed a shot of medicine costing 6000 yuan."

"crazy!"

"My classmate said that since I am from Union Medical College, I just want to get a shot of Spectra. So, it is better to have some money than no money."

"The blind date was also very chaotic. There was a buddy who was a liar." Chen Yong showed disdain.

Luo Hao understood that Chen Yong did not need to lie, he was the one who was deceived.

"I was fooled once and rented a Mercedes-Benz. It turned out that the woman was connected with the car rental company and earned commission. She was not allowed to touch the car. After calculating everything, she lost more than 4000 yuan. Who is a good person getting married nowadays, you think so. "

"then you……"

"Me? I'm a Taoist priest." Chen Yong said naturally, "If you don't believe me, I will let you die and go to hell! Believe in me, and the benefits will be great."

"You guys?"

"Believe it or not, love, don't delay my ascension to immortality."

Luo Hao really couldn't refute what he said.

Before he finished eating, Qin Chen called and asked for emergency surgery.

Luo Hao glanced at the system panel and saw that the system had not issued any tasks.

It's a bit of a pity.

Luo Hao knew that Qin Chen found a similar patient to see how he did it because of what he said yesterday. Luo Hao has already studied the relevant surgeries repeatedly in the system operating room. With the completion of the long-term main task and the improvement of the surgical level, Luo Hao is very confident.

It's a pity that my surgical level is already very high, and the long-term main task promulgated by the system will no longer directly improve the surgery one level after another.

But it's enough.

"Luo Hao, are you still going to do PTCD surgery today? Can you let me try it?" Chen Yong is already eager to try.

"No, I'll do it with an endoscope today."

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

"Ah."

Chen Yong's body glowed with light.

Chen Yong likes this kind of pretense and slap in the face the most.

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

"Hazardous, the operation is difficult. But, that's only for endoscopists."

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

"You think, if you operate a point 3 guidewire into a blood vessel and super-select grade 4 or capillaries, you can occasionally do it."

"Yeah." Chen Yong nodded.

What Luo Hao said about being able to do it occasionally was just an objective description, and it was a fact. He could only super-select level 3 blood vessels, and he had to try his luck with level 4 blood vessels.

"Gastroscopes and colonoscopes are so thick that they can be inserted directly into them. The esophagus, intestines, and capillaries are incomparable. From our point of view, the surgery is actually not that difficult."

"Luo Hao, I just appreciate the way you punch hard when you pretend to be cool in front of me, and the way you are submissive in front of others." Chen Yong said sarcastically.

"Oh, I told Director Qin and Professor Zheng yesterday about this."

"!!!"

Chen Yong's eyes were sharp and sharp.

"That's why Director Qin is so interested. Take the time to find a relevant patient and let me show it to you."

That's right.

There are some things about Chen Yong that are difficult to distinguish between true and false.

But it doesn't matter what you say, the main thing is the surgery.

The people in the audience are talking wildly, but the people on the stage are dumbfounded. This kind of people is not uncommon, and it is not very rare.

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

Luo Hao wants to see the patient first.

Late-stage cholangiocarcinoma, yellow stems, and liver failure.

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

Moreover, Luo Hao noticed that this patient failed to undergo PTCD in an interventional department in another place. The patient's family was unwilling to accept it, so they came to the imperial capital to seek medical advice.

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

"Ronald, are you sure? Don't just brag." Qin Chen was still the same.

"It's okay." Luo Hao replied with a smile, "Get ready for the surgery."

"Don't block the bile duct when you put the stent in place."

"Don't worry, Director Qin, I know everything."

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

The key is that Luo Hao won't be soft when he takes action.

It was like the surgery done at the First Hospital of the Medical University years ago.

Qin Chu had a clear idea of ​​what was going on at that time.

See it.

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

Among them, the pre-operative explanation took up most of the time. Luo Hao was a little helpless about this and even began to miss his life in India.

If you really want to increase the number of surgeries, India is the best place, bar none.

Luo Hao didn't think about it. If he had that kind of time, it would be better to do a few more surgeries.

Wash your hands and go on stage.

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

"Director Qin, do you think Dr. Xiao Luo will do the left side first or the right side first?" Zheng Siyuan asked.

He pulled up a chair and sat in front of the screen in the operation room, seizing the best seat.

Even on Qin Chen's home court, Zheng Siyuan would not give in at all.

Qin Chen didn't fight like a child. He stood behind Zheng Siyuan with his arms folded and looked at the screen.

"I think the left side should be done first, because from a surgical perspective..."

Qin Chen explained his understanding.

Zheng Siyuan smiled slightly, "Director Qin, you still don't understand Dr. Xiao Luo. From what I know about him, the right side should be done first. The advantage is that the impact on the biliary tract will be less when the stent is inserted."

"It's impossible. It would be too difficult to do the surgery on the right side first."

"It's just as hard as you think it is."

"Don't you find it difficult?"

Before the operation started, the two had already started arguing.

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

Although Director Qin Chen and Qin were his immediate superiors, no one else could participate in this kind of quarrel.

They were noisy.

There was a voice coming from the surgery room next door.

"You were not allowed to eat! Didn't the nurse tell you?" a professor said angrily as he walked out.

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

"I told you so clearly yesterday, don't feed the patient, and don't give him water! Who fed him egg custard this morning!"

"What happened to me?" A family member of a patient yelled confidently, "How sick is my dad? He is given laxatives and not allowed to eat, even a good man will starve to death!!"

"What's wrong with eating? I just ate 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 and said, "Xiao Liu, please be discharged automatically."

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

"Director Qin, your place is quite chaotic."

"Nonsense, you are talking as if you are not in chaos." Qin Chen curled his lips, "Such unreasonable patients' families are everywhere, which proves the diversity of species."

"When I was young, I met a patient who was a nurse in our department. The director wanted to perform a gastroscopy on her. Because she was an undergraduate nurse, he 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 doing it. It tastes delicious while holding the Langweixian."

"You nurses?!" Qin Chen asked in confusion.

"Haha, I didn't expect it." Zheng Siyuan said with a smile, "I didn't understand it at the time. Later, I guess the nurse was afraid and didn't dare to say anything, so she made an extremely stupid choice."

"You're so stupid!" Qin Chen scolded.

If you say so... Zheng Siyuan was a little unhappy. He was about to turn around and argue with Qin Chen, but as soon as the screen lit up, Luo Hao had already completed the pre-steps and started imaging.

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

The surgery was indeed performed very skillfully. If I hadn't known that Luo Hao was the surgeon, just looking at the surgical procedure, I would have thought that some big shot in his prime was doing the surgery.

Should Luo Hao remove the bracket from the left side first or from the right side?
Zheng Siyuan fell into deep thought and looked at the screen in trance.

Suddenly, Qin Chen touched him behind him.

"What?" Zheng Siyuan asked.

"look up."

Zheng Siyuan was about to say something, but when he raised his head, he was stunned.

Luo Hao's assistant is installing two covered stents into the ercp catheter.

Taking a glance through the leaded glass, Zheng Siyuan concluded that Luo Hao had chosen a 10F conduit.

Diameter 3.3mm!

Are there two membrane-covered stents stuffed inside? !

It can be stuffed in, but how does Luo Hao do it?

To save trouble or for what reason?
Zheng Siyuan was stunned for a moment. The same person as him was Qin Chen.

Watching Luo Hao's assistant install the two membrane-coated stents, Qin Chen fell into chaos and couldn't extricate himself.

This kind of operation has never been seen before!

To put a stent into a 10F catheter requires a test of the surgeon's technique, which is quite rare.

Those who can do this are the most skilled in the country.

But why did Luo Hao install two membrane-covered stents? !

The operation room was so quiet that you could hear a pin drop, and even Qin Chen and Zheng Siyuan could faintly hear their own heartbeats.

Before the operation, the two of them were still guessing whether Luo Hao should open the left or 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 a mistake, it must be, Qin Chen thought in his heart.

Perhaps Luo Hao's assistant had never done a similar operation before, so he hurriedly stuffed the two covered stents into the 10F catheter.

Thinking about it, Qin Chen's hand fell on the intercom button.

But just as he was about to exert his strength, Qin Chen did not move, his hand hanging on the intercom without moving.

Was Luo Hao's assistant wrong, or was he wrong?

"Click~"

Qin Chen pressed the intercom but said nothing.

"Luo Hao, the two membrane-covered stents are a bit tight, which may affect the operation." Chen Yong's voice came out.

"It's not harmful." Luo Hao said casually, "You will know how to use the 4-point guidewire to super select level blood vessels in the future. In fact, it is not difficult."

Difficulty...

not tall……

After hearing Luo Hao's comments, 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 have done this.

But now, Qin Chen fell into deep thought.

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

"Get ready, focus on it, don't think about it being useless. The main thing is to use the 10f catheter as a guide wire for point . You watch me do it first, and then when I finish it, you can try out the feel."

"..."

The two masters from the north and the south fell silent.

(End of this chapter)