White armor
Chapter 174 The first aid level of Medical University 1 is 1 light year ahead of yours
Chapter 174 The first-aid skills of the first-year medical students are light years ahead of you.
"What are you thinking about?" Luo Hao asked.
"Let's see if there's anything missing." Chen Yong frowned, "It's all over the place, and the most damn annoying thing is the emergency room."
"What else is missing?" Luo Hao sat down on the sofa and crossed his legs.
Yuan Xiaoli was pressing on the hemostatic points, Meng Liangren was cleaning up the operating room, General Manager Liu Yiyi was busy taking notes, and only Luo Hao was the most idle.
"There is nothing missing." Chen Yong finally breathed a sigh of relief after carefully reviewing the pre-operative instructions and related documents several times.
"I heard from Lao Meng that you knocked down the patient's family members?" Luo Hao asked.
"Bidong? Is this what Lao Meng told you? Who taught him Chinese!" Chen Yong raised his head with disdain and glared at Meng Liangren through the leaded glass.
"Spell." Chen Yong refused to answer the previous topic.
"Percutaneous abdominal aortography + abdominal aorta balloon occlusion + abdominal aortic aneurysm covered stent implantation." Luo Hao replied.
"I said the patient was dead, and his daughter immediately went limp." Chen Yong was typing while nagging, "What can I do? When she lies down, I can only slap her a few times, is that okay? "
This thing must not be tried casually. It will be of no use to doctors, nurses, patients or their families.
"Even if I tell her that she wants to eat KFC tonight, she needs to sign, and the patient's family can sign."
The operation was indeed over, but there would be at least another hour or so of busy work ahead.
Many first aid records have to be written, and the ICU will urge you to transfer the medical records, otherwise they will not be able to issue medical orders.
But Luo Hao hopes that the system can reward him with attribute points.
"Did you take off your mask?"
Luo Hao knew what Chen Yong was cursing.
"Damn it!" Chen Yong cursed again.
Sitting on the sofa, Luo Hao went over the previous rescue process.
The other patients are living people. This patient was already dead during the countdown to death, but was not completely cold yet.
Is there any new merit value? Luo Hao guessed.
Go ahead and get busy. Fortunately, the patient was rescued. Writing a rescue record is better than writing a death discussion.
"Chen Yong, you are responsible for communicating with the patient's family, so don't bother Lao Meng."
"I thought the patient was dying, but I didn't expect you to rescue him. Luo Hao, sometimes I doubt that you have a resurrection card." Chen Yong was also quite sad.
"icu."
Mission reward: Bad Luck Charm +2. 】
Mission content: Successfully rescued a patient with ruptured aortic dissection.
Alas, it’s part of life.
This patient is different from other patients.
There are two black talismans placed in the system space, which should be the bad luck talismans awarded to oneself.
"Just give it a try. It's best if you can save him. Well, that's it." Luo Hao was very happy.
I have seen many family members of patients who are as soft as a noodle. Chen Yong is very impressive when he can get family members of such patients to sign and agree to the operation.
Luo Hao moved his eyes away from the bad luck charm and forgot about it, "Take a break and lower the concentration of adrenaline in your body."
[Emergency mission: The dying man has been completed.
"I said, there is basically no chance, but it is recommended to resuscitate, and a signature is required. As you know, the patient's family members are completely blank at this time, and they can only do things based on instinct. It doesn't matter what they say."
"No, well done." Luo Hao looked leisurely at the busy doctors and nurses in the operating room, and looked back at the system panel with satisfaction.
Wen Youren?
Luo Hao thought of that guy.
"No." Chen Yong seemed to want to hide something, but his red eyes had already narrowed and his smile was revealed.
"Fuck! Awesome!!" Chen Yong suddenly exclaimed.
In emergencies, doctors and nurses keep swearing, which is normal.
Task time: 2 hours.
If he had been given a shot at that time, maybe Wen Youren would have really gone to Siberia to grow potatoes by now.
"Yeah, what's the problem?"
"what happened?"
Luo Hao didn't want to find out Chen Yong's secret, as long as he could continue to pray for himself.
"What are you doing? Are your legs weak?" Chen Yong asked.
Luo Hao smiled. This was an excessive metaphor, but it wasn't really a metaphor. It was basically a line drawing.
"Well, you did a good job." Luo Hao smiled, "What did you say?"
Maybe when Wen Youren reports him, he can use a bad luck charm to hit him.
It cannot be said that it is useless. Bad luck charms can be of great use at specific times and events.
"Yes, I know." Chen Yong nodded, "The first thing I said was that I must communicate. Where should the patient be sent?"
There seemed to be no omissions. Not only himself, but also Chen Yong and Meng Liangren performed particularly well, almost impeccably.
The team was formed unconsciously, and Luo Hao had a smile on his face.
Although the number of people was still small and there were no system rewards, Luo Hao just felt happy.
As for Mr. Ma Liu Yiyi, Luo Hao admired her for her sassy and sharp manner.
It's just that interventional surgeries rarely require an anesthesiologist, otherwise Luo Hao would have found various ways to bring this person into his medical team.
"Professor Luo, it's done." Yuan Xiaoli finished the pressure bandage and came out to "report" to Luo Hao.
"it is good."
"Then I'll send the patient to the ICU."
Luo Hao was not polite, nor did he say anything about hard work, and started busy again.
Everyone in the medical team went to the ICU together. Luo Hao moved a small bench and sat on the bedside to look at the patient. Chen Yong and Meng Liangren completed various records on the spot.
Although these things are "annoying" and trivial tasks, Luo Hao has worked in the medical office for two years after all, and he has become accustomed to completing all the homework documents, otherwise he will not feel at ease.
And I don’t know if the story of the farmer and the snake will happen, so it’s better to be cautious.
It sounds ridiculous. After completing an emergency rescue that was close to a "miracle", the doctor did not feel much sense of accomplishment or satisfaction. Instead, he was worried that the patient's family would bite him back.
But Luo Hao has long been accustomed to it and started "defensive driving".
After a full hour and a half, all the contents of the homework documents and medical records were completed.
The ICU resident manager reviewed it and was inexplicably shocked.
This is also the first time she has seen a patient with ruptured aortic dissection in the emergency department still live in the ICU.
After writing out all the contents of the medical record and reading it from beginning to end, the ICU resident manager still seemed to be in a dream and felt that everything was so unreal.
Luo Hao did not leave directly. Instead, he checked the medical records and modified a few places. He did not leave until he was satisfied.
After the three members of Luo Hao's medical team left, the ICU resident boss took out his mobile phone.
[Have you ever seen a patient with a ruptured abdominal aortic dissection and aneurysm being rescued? ! 】
After finishing writing, the ICU hospital manager felt something was wrong. After thinking about it, he added another sentence - [It was broken in the emergency department. 】
[Fuck, don’t make trouble. If you break someone, he will die. Can you save him? Are you too busy and are you dizzy? 】
[Have you ever seen a shocking article in any self-media? Please, please have some professional qualities. 】
[How can self-media do this? I guess I just dreamed about it. 】
The usually quiet group immediately became active, replying almost instantly, and several critical care doctors appeared in front of them.
Everyone's words were joking and ridiculing, but they didn't take those words seriously.
Can aortic dissection and aneurysm be rescued after rupture? Totally impossible!
Any treating physician who has been in clinical practice for several years would not say this.
But this is the effect that the ICU resident boss wants.
Let's all be shocked together.
How happy they are to ridicule now, how surprised they will be later.
[The technical level of our First Hospital of Medical University is one light-year ahead of the whole province! Okay! 】
The ICU hospital manager replied proudly.
[Stop talking nonsense, there is no truth without pictures! 】
[That is, yesterday I had a patient with thoracic aortic dissection who refused elephant trunk surgery, and the patient’s family requested to be discharged voluntarily. Sit up and get dressed, then just lie down and the person will be gone. 】
[I think I wrote it wrong, it’s not aortic dissection, it’s a dissection in another location. 】
There were countless splashes in the quiet WeChat group.
The ICU resident manager had an uncontrollable smile on his face.
She immediately posted the image of Luo Hao's hair using a pig tail tube, and then posted her physical signs at that time.
Aorta, abdominal aorta!
That's right!
The image of a dissecting aneurysm is so dazzling. The angiogram of a single shot smokes next to the aorta. There is no doubt that it is broken, not just a little bit, but completely broken.
The WeChat group that had just become active suddenly exploded.
The imaging confirmed that it was an abdominal aortic dissection. Although it was not certain that it had ruptured in the emergency department, the rupture of the aortic dissection was definitely confirmed.
【Then what? 】
[I estimate that the patient's blood pressure has returned to zero. The value is an error caused by the dying vascular smooth muscle being extracted. 】
[The person is already dead. It’s useless for me, the King of Heaven, to come. Let’s go, Mo. 】
Looking at a series of replies, the ICU resident manager steadily posted the image of the balloon blocking the breach.
The WeChat group that had just been in chaos suddenly became quiet.
Is this okay?
like……
seem……
almost……
can.
Then the ICU resident manager posted the time and vital signs recorded in the rescue record.
It is said that the rescue records written by the doctors of Professor Luo's medical team are really detailed and are countless times better than those written by the old dogs in the surgery. The ICU resident manager sighed inwardly.
[Fuck, can you really live? 】
【I am speechless. 】
[If this patient survives, I will go to the First Hospital of your Medical University for further study. 】
The hospitalized boss of ICU held his mobile phone and laughed, extremely proud of himself.
She didn't do the surgery, and the rescue didn't have much to do with her, but it was a personal experience after all.
Even seeing this kind of emergency treatment that happens once in a lifetime with his own eyes would be enough for the ICU resident manager to be proud of.
[Of course he is alive. The patient can now speak. 】
Countless thumbs-up emoticons followed, and then someone posted an emoticon of pandas burning incense + worshiping.
So the neatly lined up emojis of pandas burning incense and worshiping filled the screen.
The more doctors understand the difficulty of resuscitation, the more they admire him. As for worship, that's right.
If you don’t worship this, what else is worth worshiping?
In fact, they didn't want to, but it was a ruptured aortic dissection, and it was ruptured in the emergency department, not on the operating table.
[Hurry up and post the surgery below. 】【Yes, I felt itchy after watching half of it! As for how long the patient's brain has been deprived of oxygen, it would be better not to save him if he is left in a vegetative state. 】
[Probably not. There is time in the images and they can be matched. It is theoretically possible. 】
The ICU hospital manager did not show off too much and posted all the following information, as well as the post-operative laboratory test sheets.
Judging from the laboratory values, the patient should be alive.
After showing off, the hospital manager of ICU held his mobile phone and smiled, waiting for everyone to pay homage.
Worship and flattery abound.
But after two minutes, the resident from the hospital next door sent a message.
【it is true? Or did you compile it using chatgpt? 】
【of course it's true! 】
[I always think it’s impossible because everything is so perfect. I'm not saying that this kind of rescue is impossible. It's been less than 3 hours since the aortic dissection ruptured. Do you have rescue records? 】
This is indeed a "flaw".
But the hospital manager of ICU was confident, printed out medical records, and started recording videos on his mobile phone.
A series of medical records such as rescue records, operation records, various signatures, and even first course records, medical records, on-stage consultations, postoperative records, etc. are all available.
The time is marked on it.
The WeChat group fell into silence again.
All intensivists will drool with envy.
Our group of Dogecoin doctors throw patients into the intensive care unit without even writing down the surgical records. No matter how many times they are urged, it is useless.
Only when the patient is about to be discharged is a operative note copied and pasted in a hurry.
Look at the doctors at the First Hospital of Renjia Medical University. They can recover ruptured aortic dissection and aneurysm, and within just 3 hours, all the medical records and documents are ready.
No need to rush at all.
[Be careful dic. 】
Someone sent a sour message.
[Ha, Professor Luo left a medical note before leaving. 】
The hospital manager of ICU smiled and sent the medical instructions left by Luo Hao.
How to deal with any situation, no matter how big or small, everything is covered.
[It’s so detailed that another graduate student could handle it. 】
[This is too complete. Are you a first-year medical student at this level? Do not believe! 】
[That is, tell the truth, what is going on? 】
The crowd was excited.
……
Luo Hao sat at the table with an unlit cigarette in his mouth and read the documents.
Chen Yong and Meng Liangren were snoring and eating.
It's already very late, so I have to eat a bite of Laonangang casserole meat to cope with a bite.
Luo Hao ate very quickly. After it came, he poured the meat into the rice. He finished it in 10 seconds, and then started to drink the soup slowly.
Chen Yong and Meng Liangren were not as anxious as Luo Hao.
"Luo Hao, aren't you going to give me a few compliments?" Chen Yong asked with excitement after eating.
"Everyone did a good job!" Luo Hao said with a smile, "Everyone works together and we will keep up the good work in the future."
"That's it?"
"Otherwise?" Luo Hao glanced at Chen Yong, "How can I praise you?"
Chen Yong shrugged.
"Handsome guy, add WeChat?" A mobile phone was stretched out next to her. A girl blushed, but she tried to muster the courage to ask Chen Yong for WeChat.
"Sorry, I like men." Chen Yong hugged Meng Liangren's arm and said with a smile.
"what?"
The girl was shocked and left.
Chen Yong moved away immediately and took out a handkerchief to wipe the clothes that came into contact with Meng Liangren.
A look of disgust.
Meng Liangren didn't know whether to laugh or cry, but he didn't say a word, he was mature and steady.
Well, this is good. If only he and Chen Yong encountered this situation, he would probably have goosebumps all over his body, Luo Hao thought to himself.
"Luo Hao, in this work today, there are not many cases of letting Xiehe go." Chen Yong asked.
"It's basically rare. After all, time is tight. But technically speaking, it's not difficult. What's difficult is communicating with the patient's family. Lao Meng starts from scratch to deal with various easily overlooked points."
"Is that enough for one case report?" Meng Liangren asked.
"Not enough. We don't read this in individual case reports." Luo Hao shook his head.
"Lao Meng, work hard, Luo Hao will help you make a lot of money!" Chen Yong said with a smile.
"Be low-key." Luo Hao glared at Chen Yong fiercely, "Be low-key when it comes to making money. These are all tricks. I can only try to offend less people, but I can't guarantee that I won't offend people."
"What do you mean?"
"Boss He was investigated a few years ago about the establishment of a cancer hospital in Northern Hebei Province. The people behind him were strong enough to suppress the matter. But Boss Tian from Jishuitan did not hide away. He said that he peed when he was taken away. Yes, alas.”
Luo Hao sighed.
"Really or not? I think it sounds vivid, but it doesn't feel like it's true."
"It's true. In fact, doctors are the easiest to check. After ten years of hard work, I have read a lot of scriptures, and I will give up after a little scare, or even not scare." Luo Hao said softly, "So the bosses said, all my money They must have clean origins, pay taxes, and be able to withstand inspection.”
"Oh? Are you suffering from persecution paranoia?"
Luo Hao shook his head, a little dazed.
"What are you thinking about?" Chen Yong was curious.
"I'm thinking about the guide." Luo Hao said, "Boss Tian was a big shot in formulating the guide back then, so he naturally preferred spinal surgery. I fought with him several times in neurosurgery, but couldn't get it done."
When talking about these gossips, Chen Yong became attentive.
"There are no academic leaders in the interventional department. Whether it is Dean Xu or Boss Teng, although they are already very strong, they are still a little worse than the hepatobiliary surgery department. Otherwise, neither Boss Teng nor Dean Xu would have entered the Engineering Academy."
Luo Hao briefly talked about some gossip in academia and left a final paragraph.
"Isn't it pointing at you?"
"Me? Haha." Luo Hao smiled.
"It's difficult, isn't it?"
"The knives at the yamen gate are very sharp." Luo Hao said seriously, "So I don't recommend making money casually. Just save your worries and don't point your fingers at me to get you."
Meng Liangren nodded.
Chen Yong dismissed it.
"Actually, there are many ways to make money."
"Don't brag, tell me."
"Chairman Chen of Aier Eye Hospital has no medical background. After he was discharged from the army, he first went to Hainan to work as a general agent of coconut palm juice, and then he speculated in real estate, but he failed."
“Going forward, at the same time as the Tian-Pu Department, we launched the hospital-intermediate-hospital model. If we couldn’t compete with the Putian people, we would focus on ophthalmology.”
"After all, gold eye surgery and silver surgery."
"Aier Ophthalmology seems to have a market value of hundreds of billions." Meng Liangren said.
"Well, Aier established a specialized hospital after being cleared out of the hospital. However, at the beginning of the 21st century, the specialized hospital had almost no patients and almost closed down. Later on, there was capital injection, including technology capital injection."
"Who?" Chen Yong was very dissatisfied with Luo Hao's hiding.
"Haha, it doesn't matter who it is. If you want to make money, invest in technology, then list it, split it up, and list it again. This is the right way. Why bother to make a small amount of money in clinical practice without cherishing your feathers?"
"Making money is such a big deal!" Chen Yong didn't understand.
"Harm, after a certain level, it's just numbers. Isn't it easy to make money? The main thing is whether you can keep it." Luo Hao said with a smile, "Each city has its own richest man. How many richest men were there in the past few years because of the city's requirements? How about 'blind' loans and building buildings, including Shi Yuzhu, didn't they all sink?"
"For the city, it's just a matter of replacing the richest man. The sword at the yamen door is very sharp. But for everyone? Right?"
"The same applies to foreign countries. In the past few years, the head of a Chinese family with roots in Aramco was hit and killed by a dump truck."
Luo Hao picked up all kinds of gossip at his fingertips.
But the main point is still - making money is boring.
Meng Liangren had mixed feelings in his heart after hearing this, and his mood was inexplicable.
"There used to be a saying that true greatness is not about getting a good hand or playing a good hand, but knowing when to leave the table."
"But that was in the past. The previous dean of the First Hospital of the Provincial City Medical University was investigated after he retired. You know why."
Luo Hao asked.
Chen Yong shook his head. Meng Liangren observed for 2 seconds and said, "It is said that after his retirement, he established a private hospital in Nanfang and Capital. He recruited people here and almost broke the foundation of the first year of medical school."
"Yeah, what the hell is this dual-track system? You say one thing at the time and another thing later. In short, it doesn't matter if you make less money, don't leave too many clues. This is called giving others leverage.
If you don't want anything to happen, don't serve it. "
"I'll stop if I earn 3000 million this year."
Luo Hao said the last thing.
Meng Liangren almost bit off his tongue.
What? 3000 million?
Where to earn it?
"Are you really prepared to earn so much at Southern MicroPort?" Chen Yong was surprised.
"I don't know. Southern Minimally Invasive's Phase 4 clinical operation fee is probably not very high. Chairman Shen just said that Mr. Nie is also a wage earner and can't make the decision. If it's about making money, I'm more optimistic about Brocade."
"But, in order to help domestic minimally invasive companies, it's not a big deal to perform 2000 surgeries for Southern MicroPort."
"!!!"
Chen Yong and Meng Liangren were silent at the same time.
Why do some things change when they come out of Luo Hao's mouth?
"Let's go, go back and see the patient, and I'll listen to how you explained it to the patient's family." Luo Hao stood up.
The three of them put on their clothes and went out, got in the car and went back to the hospital again.
When he arrived in the ICU, Chen Yong took off his mask and walked over.
"Yan Zhonghua's family, right?" Luo Hao said to a family member of a female patient under thirty.
"Yes, yes, doctor." The patient's family members have almost returned to normal.
It turned into a noodle and then collapsed. It was just a state of stress, but it is gone now.
"I'll take another look." Chen Yong said with a smile, "The condition was stable when I left. Did the ICU doctor say anything to you?"
"I told you that there is a possibility of DIC after heavy bleeding, but I believe there will be no problem. Even if there is a problem, it can be solved."
"Huh?!" Chen Yong was startled. He didn't have as much confidence as the patient's family members.
"I asked my classmates, but they didn't believe that a ruptured aortic dissection aneurysm can be saved. I also searched for some information on the Internet. I am really lucky to have met you."
With that said, the patient's family members bowed deeply to Chen Yong.
Chen Yong is so embarrassed.
(End of this chapter)
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