White armor

Chapter 158 Can’t see me, can’t see me, can’t see me
Chen Yong and a strange doctor rushed over pushing a flat cart.

The wheels of the flat car roared like a siege car, rushing directly towards Pei Yingjie.

"Director Pei, get out of the way!" Luo Hao trotted past Pei Yingjie, apparently going to call the elevator.

Why is Luo Hao more caring than his own doctor? Pei Yingjie stood up straight against the wall. A gust of wind blew by, ruffling Pei Yingjie's hair.

"What's going on?" Pei Yingjie asked Mr. Wei who was following behind.

"Professor Luo took a look and said that there is a high probability of renal embolism and that we should seize the time for surgery. I...I..."

Mr. Wei was also in a trance, as if he was dreaming.

"Have you explained the condition to the patient's family?" Pei Yingjie asked.

Mr. Wei shook his head, but raised his hand. He was holding a pen and paper.

Luo Hao could perform surgery, but as the resident manager of the Department of Urology, he had to do something.

After entering the room and looking at it, the patient was immediately taken away in a hurry.

"He entered the emergency room, took one look at the patient, and then looked at the report sheet, and said it must be renal infarction caused by atrial fibrillation." Mr. Wei was a little dazed, "He was so sure, I almost believed it."

Oh shit!

"Yeah." Pei Yingjie nodded and stalked after him.

For this rare disease, the urology department has received professional training and has seen related patients.

Similar work should be done by vascular surgery.

This little trick won’t make it to the table, but there are enough things on the table!
No atrial fibrillation was found in the emergency ECG. Everyone from the hospital chief to the third-line professor on duty suspected that it was renal infarction caused by atrial fibrillation. This is already the first-class diagnostic level in the country. Pei Yingjie suspected that the patient might not be able to do it even if he went to Union Medical College. better.

If you come here by yourself, you don't have to worry about anything else except explaining the condition to the patient's family.

"Here, here, sign your name first. Who is in charge in your family?"

Luo Hao is really capable.

Pei Yingjie remembered what Luo Haosang said - the aunt who cleans the house in Xiehe can diagnose it.

It's not good to stand aside and watch others busy rescuing their own patients.

"Don't be clever and tell the patient's family quickly. By the way, don't forget to mention atrial fibrillation. The patient may die anytime and anywhere!"

This sentence is simply too damaging.

Then he briefly explained the situation.

"Ding dong~"

Even so, neither the resident boss nor the third-line professors could give a definite diagnosis and could only report it to themselves step by step.

If the diagnosis is correct, Luo Hao should be intubated for thrombolysis, but does he have this qualification?

As he got closer, Pei Yingjie heard the man say seriously, "It took me 20 minutes to deliver it at home! Why did it take so long!!"

"What did Professor Luo say?"

Emergency and first aid, division of labor and cooperation, everyone has the same goal - to bring the patient back from hell.

Pei Yingjie's mood was slightly complicated.

He became more and more curious as to whether his doctor's diagnosis and Professor Luo Haolo's diagnosis were correct.

Are all the PhDs from Union Medical College so awesome?

"Director, I know, I just said that the patient stayed at home for too long and may need a kidney transplant." Mr. Wei whispered seriously, "Right."

When they arrived at the elevator, the elevator dedicated to surgery had already gone down, and Pei Yingjie could only continue to wait.

"..." Pei Yingjie was silent.

"Go and explain the situation to the patient's family, and be serious!" Pei Yingjie warned.

"Moreover, embolism in other organs cannot be ruled out." Pei Yingjie thought for a while and added, "In short, it doesn't matter how serious it is."

It's so worry-free, Pei Yingjie suddenly had this thought in his mind.

"it is good."

"Yes Yes Yes."

Pei Yingjie got off the elevator absentmindedly and saw a middle-aged doctor with thick eyebrows, big eyes, a straight nose and a broad mouth, talking seriously to the patient's family.

But what about Luo Hao?

The doctor's words were not very sharp, nor did he complain much, but his subtle tact made the patient's family feel ashamed.

"We are rescuing him first. Fortunately, you brought him directly to us... He is in his first year of medical school. If he had to move to a smaller hospital, he would probably have to pay at least a few pounds."

"Have you contacted the medical office?"

"Here, we are rescuing people. We don't have time to write a pre-operative statement. Please sign here first. I have told you everything that needs to be said. I will make up for the pre-operative statement afterwards." The doctor said seriously, "We will try our best to ensure that You have also seen the situation of the patient’s organs and life.”

I told the patient's family that there was nothing wrong, and that the doctor was responsible for the cure. If he couldn't be cured... it was because he was delayed at home for too long.

"Professor Luo contacted the medical office immediately, and the officer on duty has already gone."

The elevator rang, and Pei Yingjie walked into the elevator.

It may be that this doctor is not professional enough and does not know much about atrial fibrillation and renal obstruction. There is a slight flaw in his explanation.

But it doesn't matter, what he is talking about is what Pei Yingjie just explained to Mr. Wei.

Nothing was missed, and even because of his upright look, the hostility of the patient's family members was -2 and the trust level was +2.

Pei Yingjie was not surprised at all, he just felt that Luo Hao's medical team was full of talents.

Is this the person who was "tried" from the infectious disease hospital?

What a talent.

Unexpectedly, the infectious diseases hospital is not all filled with dawdling doctors.

Pei Yingjie took a deep look at the man and went in to change clothes.

"Director, I..."

"Everyone has finished giving the explanation. You and the people from Luo Hao's medical team will think about it later and see how to write the pre-operative explanation on the blank paper. It must be thorough."

After changing clothes, Pei Yingjie hurriedly entered the interventional catheterization laboratory.

"Lao Meng, your level is pretty good."

Pei Yingjie heard Luo Hao's voice immediately after entering.

"Hey." Meng Liangren just said hey, took a paper clip from Bai Fu's chest, and pinned the blank paper and several A4 papers together.

Then he took out a piece of A4 paper and wrote - Important medical records, please do not touch these six words, and put it on the home page. (Note)
Pei Yingjie was attentive enough, and the more he looked at this person, the more he liked him.

Meng Liangren immediately put on his lead clothes and entered the surgery room. He stood behind Luo Hao and watched Luo Hao and Chen Yong perform the surgery.

"Lao Meng, turn off your phone for me." Luo Hao stuck his butt out.

Through the leaded glass, Pei Yingjie saw Meng Liangren take out his mobile phone from Luo Hao's trouser pocket and turn it off.

This is?

Pei Yingjie was confused, but he immediately thought of one thing - Meng Liangren, who had just thick eyebrows and big eyes, turned on the microphone when he was giving pre-operative instructions, and Luo Hao heard every word in the operating room.

There may be other exchanges as well.

He is so attentive that the emergency stall is still watertight!
Pei Yingjie's inner evaluation of Luo Hao was unknowingly changed.

For Luo Hao, preoperative explanation is just a step in the rescue. It is not insignificant, but it is not that important.

The surgery was successful, and any preoperative instructions and follow-up can be corrected.

If the operation fails, the character of the patient's family will be at stake. A blank piece of paper signed can improve the character of the patient's family members by 20%, but it is definitely not a foolproof guarantee.

Besides, Luo Hao has never forgotten the purpose of the rescue.

While talking, Luo Hao had already completed the catheter placement and was about to start angiography.

The airtight lead door slowly closed, and the operating room and operating room became two different worlds.

"Luo Hao, you sang well." Chen Yong praised after pressing the button of the high-pressure syringe.

"Huh? Stay focused, the emergency room is here." Luo Hao looked forward and looked at the screen opposite.

The black image of the contrast agent was flowing in the blood vessels, but the left kidney area was almost blank.

The diagnosis is correct.

In the operation room, Pei Yingjie breathed a sigh of relief after seeing this.

"Time." Pei Yingjie asked.

"Less than an hour."

Mr. Wei couldn't get the time down to minutes or seconds.

After all, the patient's family members were nervous and anxious at the beginning, and the time was unknown, only a rough idea.

But it's probably enough time. In less than an hour, the kidneys can still withstand it, but it has reached its limit.

The rest depends on Luo Hao's operation. If it is done quickly, the patient's kidneys can be saved. If you go slower, even if the operation is successful, it will be of no use. The kidney has been ischemic and necrotic and must be removed.

He needs a thrombolytic tube, Pei Yingjie frowned and looked at the screen. Next, it depends on fate to see whether the patient is lucky or not.

If the patient's life is good, the thrombus has just clotted, and catheter thrombolysis can quickly open a path. As long as there is blood supply, even if it is incomplete, the kidneys can be saved, and the rest can be done slowly.

Even if the kidney function is affected in the future, it will still be much better than a single kidney.

But if the old blood clot is as hard as a stone, no matter how timely the early rescue is, it will be useless.

Pei Yingjie stared at the screen and pressed the intercom button after a minute.

"Professor Luo, how do you judge?"

"Old thrombosis, troublesome." Luo Hao replied.

Gan!
The patient's luck is really not good.

Pei Yingjie turned off the intercom and said, "This is the hybrid surgery room."

"Yes, Director."

"Contact the operating room and prepare for surgery."

Pei Yingjie's head became twice as big as the thought of surgery here.

Anesthesia, equipment, etc., etc. are all big problems.

But there is no way, there is not much time left for the patient, and kidney removal is a high probability.

It is much better to prepare early than to rush when the time comes.

Why is it old? Pei Yingjie felt a little confused. Were there no symptoms before?

Is it the patient who is careless or the patient's family members?
It wasn't until atrial fibrillation and an emboli broke off and blocked the arteries supplying the kidneys that I realized something was wrong.

"Director, the operating room is busy." Mr. Wei reported helplessly after contacting him.

Director Pei scratched his head.

It’s really disgusting when there are so many emergency rooms in the operating room at night.

Things have gotten better in recent years. In the past few years, more than a dozen caesarean sections were scheduled. If an emergency room emergency room was added in the middle, parents who had calculated their birthdays would come directly to the hospital to fight.

Moreover, the anesthesiologists and nurses in the operating room are also willing to perform caesarean sections.

Simple and festive, after mother and child are safe, they will be greeted by smiling faces and red envelopes sharing their joy.

What about emergency first aid?
Not to mention sweating it out, you may also be jointly and severally liable.

Everyone would want to have a caesarean section.

Just as I was thinking about it, the airtight lead door opened.

Chen Yong walked out, took off his gloves and took out his mobile phone.

"Da Nizi, what's the thrombectomy catheter?"

"SkySurfer 5F-125 distal access catheter!!" came an energetic and bouncing voice from the other side of the phone. "Is there a thrombectomy stent?"

"SkyFlow4*30 thrombectomy stent, Edward double-chamber thrombectomy stent is also available, what model do you need?"

"Bring the complete set of equipment!"

"Okay!!"

After Chen Yong finished speaking, he hung up the phone.

"Xiao Chen, do you want to remove the bolt?" Director Pei raised his head and asked.

"Give it a try. Luo Hao said that the embolus is old. I don't know if it can work. The hospital should close down immediately. It's useless to ask for anything. The centralized procurement will bring in all these things! What's the matter!"

"Is there enough time to remove the thrombectomy? We have nothing..."

"Try it, you can't just touch the waist. It doesn't seem appropriate to watch it."

Director Pei sighed helplessly.

Medical insurance ran out of money. After three years, all consumables were in short supply. Although the reimbursement amount remained unchanged, the hospital was losing money on medical insurance payments.

There are too many words here that bring tears to my eyes.

Just as he was thinking about it, Chen Yong left.

"Why are you going?" Pei Yingjie asked subconsciously.

"Go and explain to the patient's family that the thrombectomy stent may have to be paid for at your own expense, and you may lose money at your own expense." Chen Yong looked very unhappy, tore off the sterile clothes on his body, and walked out wearing the lead clothes.

Pei Yingjie's heart moved and he stood up and followed Chen Yong.

Chen Yong did not go through the front door. The old doctor with thick eyebrows and big eyes opened the front door and communicated with the patient's family.

Pei Yingjie noticed Chen Yong coming to the back door.

"Xiao Chen, what are you doing?"

"Waiting for the embolus stent to be removed." Chen Yong glanced at Pei Yingjie and said, "Director Pei, get ready too. I guess it will be difficult to take it out. I tried the embolus and it was as hard as a rock. Luo Hao If you force it out, it is more likely that it will not come out, and the blood vessel may be damaged. "

Pei Yingjie raised his eyebrows, Chen Yong was telling the truth.

2′22″, the sound of trolley suitcase wheels pressing against the marble floor was heard.

"The hospital should prepare more consumables. They don't want to spend money. The cost is the reason for their paralysis. They tell the people one thing and tell us another later, and they even showed a knife and said they would deduct money." Chen Yong began to complain. .

"There are two mouths, one says to treat the disease and save lives, and the other says that we have no money, so we should save some money. We should open the operating room to the medical insurance center, and then let the patients' families directly contact the medical insurance."

Pei Yingjie shook his head and sighed.

The words are true, but who cares?
The next second, a small floral dress in blue cloth appeared in front of him.

I am!

Pei Yingjie suspected that he had traveled through time.

Such clothes can only be seen in extremely old movies and TV shows.

Wang Jiani, who was wearing a blue floral floral dress, was breathing heavily, her cheeks were flying, and she was running all the way.

Lanbu Xiaohuahua didn't say anything, and Chen Yong didn't say anything either. They seemed invisible to each other.

Pei Yingjie vaguely felt that the consumables dealer in Luo Hao's medical team looked like A Piao, wearing clothes from decades ago and full of resentment.

But the girl had a small face and very fair skin. Even at night, her pale skin was flushed under the light, which made her look particularly beautiful.

It is far different from the female ghost in my imagination.

It's just that her blue cloth and floral clothes... are so retro.

However, Chen Yong didn't seem to see the girl wearing blue cloth and small floral clothes at all, and had no idea of ​​saying hello.

Pei Yingjie stared blankly as the girl pushed the trolley case hard and quickly ran towards Chen Yong from a distance.

Chen Yong squatted down, opened the trolley case, and skillfully took out the thrombectomy bracket and other corresponding consumables that Luo Hao needed.

“SkySurfer5F-125远端通路导管，内径0.058“和其他内径的都有；SkyFlow4*30取栓支架；SkyWay21微导管；6F长鞘；2m微导丝；5F多功能导管；泥鳅导丝。”

Chen Yong quickly took out the consumables while mumbling, for fear of forgetting something.

Then he picked up all his things and turned around to leave.

As for the girl in the blue floral dress, it seems she doesn't exist.

The trolley case seemed to be summoned out of thin air by Chen Yong, as it should be. As for the person who sent the trolley suitcase... he doesn't exist at all.

Pei Yingjie stared at this scene in confusion.

Does that girl in the blue floral dress really not exist? !

But I clearly saw it.

it's getting dark.

There were gusts of cold wind blowing in the back corridor, coming from nowhere.

Pei Yingjie shuddered.

"Can't see me, can't see me, can't see me."

Pei Yingjie vaguely heard the girl wearing blue cloth and floral clothes mutter.

I am!

what does this mean?
Chen Yong had disappeared, and Pei Yingjie stared blankly at the small floral blue clothes and squatted down to sort the trolley suitcase.

This is not the relationship between doctors and manufacturers' sales. Even when no one is in charge, and even when the manufacturer's technicians can follow on stage to perform surgeries, they and the doctors always have to say a few words, be polite.

Pei Yingjie immediately remembered something - it was said that Luo Hao's assistant was a magician and a Taoist priest.

Could this be the legendary technique of Six Ding Liujia moving mountains?
No wonder she was wearing a blue floral dress. Pei Yingjie had only seen this kind of dress when he was a child, but had not seen it for decades.

Moreover, the materials are not the kind that Pei Yingjie saw when he was a child, but pure fabrics.

Before liberation... Ah Piao was detained by Luo Hao's assistant to sell consumables.

A few years ago, I joked that I would not be allowed to become a spirit after liberation, but wearing a blue floral dress, I might be a spirit before liberation.

A strange thought appeared in Pei Yingjie's mind.

This idea was so nonsense, but Pei Yingjie believed it.

After all, the blue cloth and floral dress clearly appeared in front of him. Chen Yong didn't even say a word to the girl, and she didn't communicate with Chen Yong. Now she muttered in her mouth - "I can't be seen."

Pei Yingjie almost stopped crying. The blood in his body was coagulated, his hands and feet were cold, and he began to tremble.

What is this!
It was clear that I was in the emergency room just a moment ago, but why did it become an urban legend the next second?
"You can't see me, you can't see me, you can't see me." The nagging voice of the little blue cloth clearly reached Pei Yingjie's ears.

After packing her things, Wang Jiani stood up, pulled her trolley suitcase and glanced at Pei Yingjie.

Although Wang Jiani is a coser, she also feels that she is wearing a strange outfit today. As we ran all the way, countless people pointed at us.

But Wang Jiani was still editing videos at home when she received the call. She didn't have time to change clothes, so she could only run out with a trolley suitcase and a blue floral dress.

Cos Xianglin's wife's appearance is different from others, it's true that it's different enough.

It's so embarrassing. I hope this doctor has astigmatism + cataracts and can't see himself.

As God wished, the old doctor kept looking at him blankly without saying a word.

Wang Jiani packed up the things in the trolley suitcase, smiled habitually, turned around and ran home with the trolley suitcase.

The "person" is gone, and the little blue cloth flowers are gone.

The corridor at the back door was empty. Pei Yingjie was trembling all over, his various sphincters were spasming at the same time, and he almost made a fool of himself.

If your eyes are dazzled, you must be dazzled yourself

Pei Yingjie turned around numbly, his knees unable to bend back.

Like a puppet, Pei Yingjie returned to the operating room upright.

He was not afraid of ghosts, but he saw something scarier than ghosts.

Chen Yong did not go on stage, but was looking at the screen with his arms folded.

"Xiao Chen, who is the supplies supplier?" Pei Yingjie asked with a forced smile.

"What supplies dealer?" Chen Yong asked coldly.

"???"

"Manufacturers and dogs are not allowed inside. Director Pei, you don't know this, right?"

I am!

Pei Yingjie's mind buzzed.

The small blue cloth flowers fill the eyes with great terror.

Although it was not a red wedding dress, it was enough to scare Pei Yingjie.

He knew the truth of the matter, but Pei Yingjie would rather believe that there were ghosts in the world than believe what he saw.

"Director, what's wrong with you?" Mr. Wei wondered why the director seemed to be a changed person after he came back from a trip.

"Help me." Pei Yingjie put his arm on Mr. Wei's shoulder and sat down slowly.

Chen Yong looked at Luo Hao inside through the leaded glass angrily.

The consumables were relatively rare and it was not certain whether they could be reimbursed. Luo Hao still insisted on having the thrombectomy performed.

Of course Chen Yong knew that patients would benefit, but once someone investigates this matter, it will definitely be bigger than Qing Qian's matter.

Don’t you know how to cherish some feathers? ! Chen Yong thought in his heart.

He doesn't like anything now, especially Luo Hao who is undergoing surgery inside.

On the screen, Luo Hao inserted the 6F Neuron Max long sheath along the sheath, and placed the long sheath at the end of the C125 segment of the internal carotid artery through a loach guidewire and a 1cm single-curved catheter.

The microguidewire, SkyWay 21 microcatheter, and SkySurfer5F-125 distal access catheter are coaxial. The microguidewire passes through the occluded segment of the renal artery and follows the SkyWay21 microcatheter along the microguidewire to cross the occluded segment. The "smoke" of the microcatheter indicates the distal end. Blood vessels are unobstructed.

The operation was a simple success.

For Luo Hao, the surgery was not difficult. What was difficult was how to deal with it after the operation.

Will patients and their families fall out over unreimbursed consumables?

Luo Hao didn't know, and neither did Chen Yong.

"Professor Luo, the patient's family agreed and said that even if it is not reimbursed, it will be fine. Let's try to see if we can keep it by spending money..." Meng Liangren came back and reported to Luo Hao.

But the next second, he suddenly saw smoke coming from the renal artery. The operation was completed while he was communicating with the patient's family. Meng Liangren was stunned.

This is too fast!

Although Meng Liangren cannot perform detailed operations due to hyperhidrosis of his hands, he knows how to operate.

How many minutes does it take to complete the thrombectomy surgery? !

"Oh, that's good, the operation is done." Luo Hao took out the stent and looked at the blood clot carefully.

The subsequent steps were quickly completed, the blood supply to the kidney was restored, the catheter guidewire was extracted, and the operation was successful.

"Doctor Meng, come and apply pressure to stop the bleeding."

Luo Hao turned around and stepped off the stage, tore open the sterile gown and threw it into a medical waste bin.

"Stab~"

Tear off the lead skirt and throw it to the ground.

Meng Liangren was applying pressure to stop the bleeding. When he saw someone trying to pick up the lead skirt, he immediately shouted, "Let me go!!!"

……

……

Note: During one rescue operation, the army was in chaos, and the signature sheet could not be found after he stepped down. After struggling for a long time, I found it in the corner. After that, I will always keep 3 paper clips. It seems that it is of little use under normal circumstances and can only be used once every 2-3 years.

(End of this chapter)