White armor

Chapter 151 It looks like a walnut from a distance, but it looks like a walnut from up close. Take a closer look~
Director Chen Yan and Chen were looking at each other in front of the computer.

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

The three eyes looked at each other, Chen Yan's hand stroked the hair on his heart, and a smile appeared on the corner of his mouth.

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

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

"Hahaha, let me tell you, Director Pei, this is very rare." Chen Yan was proud, "In our gastrointestinal surgery department, we call it the Devil's Eye, or Roujiamo."

"what is that?"

"Don't worry, I'm looking for Ronaldinho to take a look at some rare things." Chen Yan was sitting on a chair, his legs too short to touch the ground, dangling in mid-air.

Coupled with his full beard, he looked almost like a big monkey.

Director Pei of the Department of Urology said dissatisfied, "Why are people talking about Luo Hao everywhere these days?"

"Bye."

Invited to participate in the Phase 4 clinical trial conducted by an internationally renowned manufacturer, Director Chen Yan has never seen a similar doctor. None of the doctors he knows, including himself, have reached this level.

"Woooooo~~~"

"Xiao Luo? Are you busy? Come to my place and show you a rare thing." Chen Yan showed off.

"Well, don't worry, I will definitely say it right."

If there is a reason to interact with Luo Hao more often, there will only be benefits and no harm.

"Haha." Chen Yan smiled slightly, and his beard spread out like a spear and a halberd.

Luo Hao walked up to Chen Yan, bowed slightly and politely, and then took a look at the film.

He used the word "other" very seriously, and the meaning was obvious.

"Okay, I'm about to tell the doctor in the department. Come take a look and gain some clinical experience."

The two of them had a tacit understanding.

Yesterday, the department admitted a female patient with intestinal obstruction. After examination, the imaging showed abnormality. Chen Yan explained to the doctors in the department before going into surgery that this was a very rare "evil eye".

"What kind of intestinal obstruction is this? The film looks so weird."

"Little Luo, come and take a look." Chen Yan waved.

There was a whimpering sound in the corridor.

Call all the doctors and gather in the doctor's office except those who are on night shift or going out.

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

"Director, the operating room has already received the patient."

"What?"

About five years ago, Chen Yan saw a case of "evil eyes" and was deeply impressed.

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

"Then I'm leaving. If I don't go on stage with you, I'll go and tell the patient's family."

Chen Yan did not send Director Pei off, but looked into that eye with a smile.

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

"He's really awesome!" Chen Yan smiled and stroked his beard while looking at the eyes in the image, "Ronaldinho may not have seen this thing before. I have to show him."

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

Feng Zixuan, Director Feng and Luo Hao went to India. Anyone who was interested in the first hospital of the Medical University knew about this.

The so-called saying it right means repeatedly mentioning how Director Pei took care of him and letting the patient's family know how grateful he was.

Chen Yan Director Chen and Luo Hao had contact and got along well. Luo Hao left an excellent impression on Chen Yan.

"Don't worry, Ronaldinho doesn't like this kind of surgery. He is better than me."

"Okay, let's talk for ten minutes and I will perform the surgery myself." Director Chen Yan said.

But Chen Yong stopped and said, "Luo Hao, someone seems to be crying."

Luo Hao listened, feeling a little strange, but didn't care and went straight to the doctor's office.

After smoothing the hair on his heart, Chen Yan blew out a hair stuck to his hand, and then picked up the phone.

"Director Chen, I don't care, you have to do the surgery yourself, you can't let anyone else do it!"

"It's harmful. Abdominal cocoon syndrome. I took it... I took it down. Ronaldinho went up and finished it in a swipe. It's amazing. Don't worry, you have come to me. I will definitely do it from beginning to end, sewing the skin myself." Come."

Especially that time Luo Hao asked someone from the manufacturer to send consumables to the operating room to solve the problem of interventional surgery. He was willing to take "huge" risks to allow the patient to undergo the surgery safely. From that time on, Director Chen Yanchen I admire Luo Hao very much.

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

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

Director Pei was a little unhappy. He felt that many people were spoiling the young man named Luo Hao from the interventional department. He really couldn't understand why.

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

Walnut? Hahaha!

Luo Hao is indeed still young, and when he sees a movie that looks like a walnut, he thinks it is really a walnut.

Chen Yan originally thought that Luo Hao would tell the truth - the eyes of the devil or the meat sandwich.

Chen Yan Director Chen felt proud that Luo Hao was young after all, and some rare diseases were still not seen enough.

Then again, if Luo Hao knew about it, why would he come to him?
Right.

"Ronald, sit down." Director Chen Yan smiled and said, "This is not a walnut, it is gallstone intestinal obstruction."

Luo Hao's expression was slightly startled.

"This disease is rare and occurs more frequently in female patients. The male to female ratio is about 1:10."

"Well, the ring-shaped high density surrounds the low density center. This "rougamo" or "evil eye" image feature is the "gallstone intestinal obstruction" rumored in the world!"

Luo Hao squinted his eyes and watched the film carefully.

Enhanced CT of the patient's abdomen showed: there was a 3cm high-density shadow in the lumen of the distal ileum, with a low-density area in the center. The proximal bowel was dilated and the distal bowel collapsed. There was no sign of pneumatosis or gallbladder wall thickening.

Ultrasound examination of the liver area did not reveal any fistulas or gallstones.

If we talk about the devil's eye, it does look a bit like it, but Luo Hao still doesn't think so.

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

"The onset of gallstone intestinal obstruction is relatively insidious, and the onset of the disease is often intermittent. As for the cause, the main consideration is the abnormal channel between the biliary tract and the gastrointestinal tract, which is the pathological basis of gallstone intestinal obstruction."

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

"Here, there are a few things we need to pay attention to..."

Chen Yan explained.

"Woooooo~~~"

There was crying again outside.

This time it was more real, not the wind whimpering, but someone definitely crying.

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

"Listen carefully to the lecture. Director Chen has rich clinical experience. If you encounter similar patients after listening to it, you will not step down after only half of the operation." Luo Hao whispered to Chen Yong in a low voice.

Chen Yan smiled slightly when he heard Luo Hao's words.

Ronaldinho realized his "mistake". What about walnuts? This was gallstone intestinal obstruction. The "eye" in the middle was not a walnut but a gallstone.

Not bad.

It would be better if Xiao Luo could help write a paper. Chen Yan was thinking about writing a paper while giving lectures.

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

"Woooooo~~~"

When he walked out of the doctor's office, the crying became clearer. Chen Yong followed the sound and looked over. It seemed that it was not coming from the ward, but from the nurse's duty room.

"Director Chen, what's going on?" Chen Yong asked confidently.

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

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

Luo Hao knew that this guy must have had the idea of ​​​​loving the beauty and cherishing the beauty, and wanted to comfort his little daughter-in-law.

No need.

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

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

"Tch." Chen Yong was disdainful, but still reluctantly followed Luo Hao to the operating room, turning back step by step.

"Gallstone intestinal obstruction is very rare. If Director Chen's diagnosis is correct, you should take a closer look. When you go home and show it off to your master, your master will definitely know."

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

Chen Yan was short and had short legs. Although he kept walking in small steps, Luo Hao and Chen Yong followed him easily.

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

Comrades!

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

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

"Walnuts, for such a big walnut, the cardia and pylorus are trivial matters. The esophagus is not very elastic and it is difficult to swallow it." Chen Yan pointed out the errors in Luo Hao's diagnosis as he walked.

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

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

For laparoscopic surgery, prepare to cut open the intestines, remove the stones, break them up and take them out.

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

So much so that laparotomy is now a "specialty" procedure that only experienced doctors can perform.

"Ronaldo, is India fun?" Chen Yan asked while performing surgery.

"It's not fun, not recommended." Luo Hao said, "We are all very careful. Chen Yong just ate some fruit and contracted the virus."

"Oh? So powerful!"

Chen Yong did not feel embarrassed and continued, "Yes, I have always paid attention to it. The water I drink is brought from Baisuishan from China. I also wash the fruits myself when I eat them, and I peel all the fruits that can be peeled."

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

"Tsk, tsk." Chen Yan said with a smile, "I had dinner with Director Feng two days ago. He said he started to have diarrhea after taking a shower. After a day there, you sent him back to the Imperial Capital to live in the Union International Department."

"Well, Director Feng's situation is a bit dangerous. I really don't trust their safety and hygiene in India. Let's put it this way, there are big rats in the operating room. The largest one is 40cm not counting the tail. Follow the sperm As if."

40cm!

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

Hey!
It's not like he's become a sperm, he's just a fucking sperm, okay?

"Xiao Luo, you caught it with your own hands? I can't do that. I feel sick when I see these furry and lively things."

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

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

"I wasn't afraid before. When I was a kid, I went to catch voles in the fields, and I had nothing to be afraid of. Then one time I met a patient who stuffed a mouse into his rectum and was bitten all over his stomach. From then on, I was afraid. "

"..." Chen Yan was startled.

Rat, rectum?
Chen Yan has extensive experience in diagnosing and treating rectal foreign bodies. Batteries, vibrators, loaches and the like are all normal items.

But what the hell is a rat!

There must be an unknown story here.

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

Damn it!

Calm and calm, Chen Yan began to concentrate on the operation.

Under laparoscopy, the location of the obstruction can be found quickly. Chen Yan skillfully opened the intestines and took out the "stones".

Um? Something is wrong.

It doesn't look like a stone.

Chen Yong looked at the TV screen and looked at it carefully, Gan!

It's not a stone, as Luo Hao said after reading it for the first time, it's a walnut!
Embarrassed.

Chen Yan looked at the walnuts and felt inexplicably embarrassed.

I originally wanted Ronaldinho to gain more clinical experience, but unexpectedly... I was given a backhand education.

It looks like a walnut from a distance, but it looks like a walnut up close. When I took it out for surgery and took a closer look, it was like, fuck! It’s really just a walnut!

"Ronald, it's really a walnut." Director Chen Yan quickly put away the negative emotions and acted calmly as if nothing had happened.

"Looking at the density, it should be walnuts." Luo Hao said.

"density?"

"Well, there are various foreign bodies in mechanical intestinal obstruction in the medical records of Xiehe Union Medical College. I did a comparison when I was a gastrointestinal trainee a few years ago."

"..." Chen Yan was silent and began to ask for a knife, extending the laparoscopic incision and taking out the walnuts.

This thing can't be smashed, it must fit in the mouth.

As for the medical record database of Union Medical College Hospital that Luo Hao mentioned, Director Chen Yan had heard about it.

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

When Luo Hao took out this treasure, Chen Yan had no idea how to deal with it.

Taking out the walnuts, Luo Hao started taking pictures.

It seemed that he was also very interested in this kind of cases. Chen Yan calmed down and felt much better after suturing his intestines. It was not without gain.

He had no shame in losing to Concorde's century-old foundation.

"Ronald, speaking of medical records, your Xiehe doctor is very serious about writing medical records, right?" Chen Yan asked.

"It's bad, don't mention it. Just like our hospital, the internal medicine department is okay, but the surgical department basically doesn't write medical records." Luo Hao said while taking pictures.

"I'm in the critical care rotation, and the patients thrown in from the surgery department sometimes don't even have operative records. They make them up right before discharge. It's similar to what we have here. Who wants to write medical records as a doctor?"

Chen Yan laughed.

Luo Hao was "exposing himself", but his last words touched Chen Yan's heart.

As a doctor, who wants to write medical records?

"It's better to be in India. You don't have to worry about so much at all, just do the surgery. I took a look 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 ten photos from different angles, Chen Yan asked, "Xiao Luo, are you going to publish an article?"

"If it's just walnuts... it's probably quite choking. If it's a dozen walnuts, it's still possible. There was a case report published in the New England Magazine a few years ago, where a patient swallowed five pounds of iron nails."

"..."

Chen Yan sighed inwardly.

Recalling that I was sitting in the director's office staring at the "Devil's Eye", who would have thought that it turned out to be a walnut.

However, the operation went smoothly. It was not a gallstone intestinal obstruction, and there was no need for exploration or consultation with the hepatobiliary surgery department. The operation was declared to be completed successfully.

"Ronald, when the patient recovers, you can help me do a gastroscopy to take a look at the esophagus." Chen Yan said.

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

Luo Hao readily agreed.

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

Chen Yan was a little surprised by the customs and customs in India and the shabby state of chain hospitals.

"I'm just saying, how can free medical care be so easy? The butt determines the head, whether words are rough or not." Chen Yan sighed, "But the operating room over there is so dilapidated? No one cares about sterility?"

"There are rats running around everywhere. It's worse than what we had in the 1980s." Luo Hao said, "But the private hospital over there is really good. The living person I pulled out from the pile of dead people was later sent to a private hospital. That's it. Well, the conditions are good, even my family’s Union International Department can’t compare.”

"Tsk, tsk."

"Don't listen to their nonsense. There are so many people in India. The official said there are 14 billion people. I observe, I feel that even 20 billion people can't stop them."

While chatting, several people stepped off the stage and returned to the ward.

Just as Luo Hao was about to say goodbye, he saw three people rushing out in a hurry.

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

"Yeah." The head nurse winked at Chen Yan. Chen Yan felt embarrassed and stroked his beard.

Luo Hao had a clear mind and said with a smile, "Director Chen has just undergone surgery and is still busy. If we need help, Chen Yong and I can help?"

Chen Yan breathed a sigh of relief.

This young man Luo Hao is really sensible. He said quickly, "Ronald, please don't make a big fuss! Stop it when the time comes. By the way, pay attention to your own safety."

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

Luo Hao and Chen Yong left with the head nurse and three other people.

The one who is crying is Sister Peng, the medical nurse. She was the one who had been crying before.

There was also a young and strong nurse following him.

"Sister Li, what's going on?" Luo Hao first understood the situation, which was 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, as you know."

"But he goes on a business trip once a month, for more than a week at a time, and it's still like that. So you, Sister Peng, started to be suspicious. The main reason is that every time the old guy says he is on a business trip, he doesn't answer the phone or respond to WeChat messages after he goes out!"

"Tell me, is everything okay?"

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

"What happened next, Sister Li?" Luo Hao asked.

"Later, you, Sister Peng, began to think about it. Women's intuition is very accurate. She found that her husband bought a house in the suburbs. Every time he said he was on a business trip, he actually went to that house." The head nurse said angrily, "Raise him outside." Mistress! Dog man!”

"..." Luo Hao spread his hands.

You really need to hold on tight and don't make things too big.

The worst case scenario is divorce, or just turn a blind eye and don't kill anyone.

"Not necessarily." Luo Hao comforted.

"Little Luo, you still say nice things, but men don't have any good things." The head nurse was so angry that she started to scold Bald Lao in front of Luo Hao.

Luo Hao didn't feel embarrassed. He laughed and turned his head to see Chen Yong chatting happily with the little nurse.

Indeed, none of them are good.

"Ronald, I'm not talking about you, you are a good person."

"Don't worry, Sister Li, I'm not a good person either."

Between a man and a good guy, Luo Hao made an instinctive choice.

"Oh." The head nurse calmed down after being teased by Luo Hao, "Tell me, your sister Peng was 23 or 4 years old when she married him. He was in his 30s at the time, and he was still a widowed old bachelor. Damn it. You guys are really teenagers, you only like 18."

Luo Hao thought about it and remained silent.

In fact, some people just like to have surgery.

"How old are you! You're almost 50, and if you're still so showy, you'll die on a woman's belly sooner or later!" the head nurse scolded.

Luo Hao smiled and said, "Isn't it because technology has developed so much? All kinds of medicines are available, so it is inevitable. If we had left it in the past... Let's face it, if we had other hobbies, it might have been quite miserable."

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

"My boss likes fishing. His wife is almost nowhere to be seen. I went to the Imperial Capital a few days ago and accompanied him on a night fishing trip. I sat in the grave circle without fear of being haunted."

"Fishing at night? Is it safe?"

As expected, the head nurse's attention was drawn away by grave circles, night fishing and the like.

"Safety is not a problem. Public security is good now, and the boss has guards." Luo Hao replied, "When we were fishing at night last time, there was a woman in red sitting across from the wild lake. She was also fishing and looked at the strange things. Penetrating."

The head nurse's attention was completely attracted.

With that said, several people got into the car, taking Luo Hao's car.

If you squeeze a bit, you can still sit down.

Moreover, Luo Hao's logo 307 may not look big, but in fact the interior space is much larger than the ordinary 307, and it can accommodate a lot of people.

"Ronald, your car is quite spacious."

"I'm thinking about changing it."

"Change what?"

“Audi’s new drone headlights look very cool.”

Luo Hao brought the topic to a lighter side, asked Sister Peng for her address, and navigated there.

Along the way, Luo Hao started telling various stories again, especially the incident at Fuwai Hospital. Luo Hao told it so vividly that even Sister Peng stopped crying.

Let's talk about driving, Luo Hao was serious; let's be serious, he took out a crooked black hair from his throat, which sounds funny no matter how bad it sounds.

However, Luo Hao successfully diverted everyone's attention, which relieved the tense atmosphere a lot.

Arriving downstairs at the suburban community, Luo Hao parked the car.

"Sister Peng, you stand behind and wait while Chen Yong and I go in." Luo Hao warned, "Sister Li, hold on to Sister Peng and don't make a big fuss."

"Chen Yong, get ready to take pictures."

"By the way, don't send photos randomly, and be sure to keep them confidential!"

"Luo Hao, why do I feel that you have rich experience?" Chen Yong frowned and asked, "Do you need a good photo editing?"

"Don't make trouble, I'm serious."

"and then?"

"Then? It depends on the situation." Luo Hao said, "I heard some gossip from Uncle Sun. There was a man who caught his wife in bed and raped him. After taking the picture, he told the adulterer that he would slap his lover's pussy a hundred times and then deleted it. Photos, each wide.”

"That's it?"

"Well, after the incident, he deleted the photos and videos. As a result, the woman couldn't bear it anymore and stabbed the adulterer more than 20 times."

"Is this the legendary murder with a borrowed knife?"

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

"I remember that it was her husband who did it." Chen Yong said, "This is a cruel move, and it will kill her immediately."

"Between men and women, you are the one who said that about the laxity. I think it makes sense."

Listening to Luo Hao's gossip, the head nurse, Sister Peng and the other three people's eyes widened.

There are so many ways to do it.

This is a hundred times better than scratching and scratching.

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

"Ah!" Sister Peng suddenly exclaimed.

"what happened?"

"Forgot to call the locksmith company, I'll call now."

"No, Sister Peng." Luo Hao scratched his head, "For a surgeon, opening the door is not difficult."

???

Going upstairs, Luo Hao stretched a piece of wire and showed his "technical ability" to open the half-open gate of the community with a pack of instant noodles.

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

There were no sounds of banging, banging, ahhh, ahhh, ahhh, ahhh, ahhh, ahhh, ahhhh, ahhhhhh. As long as she didn’t add fuel to the fire, Sister Peng should be able to handle it calmly.

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

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

(End of this chapter)