White armor
Chapter 176 Mindray 7500, never heard of it?
Chapter 176 Mindray 7500, never heard of it?
"Your father wants to send you abroad, why don't you go?"
Luo Hao asked as he walked.
Although Zhuang Yan's mind was full of questions, she immediately answered Brother Luo's question, "It's just that, the public security is not as good as in China, mainly because there is no good food. And even if I got a doctorate from Massachusetts , I’m afraid it will be difficult to stay in Xiehe, right, senior brother.”
"Is there anything else?" Luo Hao seemed to be Zhuang Yan's elder.
"I have a senior brother, ah, it's not you, Senior Brother Luo." Zhuang Yan explained quickly.
"You said."
"I have a senior brother who went to study in the UK and got a girlfriend. One day he brought his girlfriend home to live in harmony, but early the next morning he was charged 600 pounds, saying it was a night allowance."
Chen Yong laughed and said, "I've never encountered that before."
Zhuang Yan glanced sideways at Chen Yong, looked at his mask curiously, and then turned her head, "Brother, that side is too messy."
"But the doctors there are very strong. The large medical groups have monopoly profits, and the lives of doctors and nurses are easier than in China."
At 11:23, Shen Zizai called.
"In some industries, it is better to cheat money in China." Luo Hao said lightly.
But with the objective tests and inspections there, how could it be okay?
"Hahaha." Zhuang Yan laughed, "I don't want people to ask me that."
"Laboratory tests are all machines. Theoretically speaking, there should be no difference if Professor Luo does it." Feng Zixuan told the truth.
"???" Dean Zhuang was startled and looked at Feng Zixuan suspiciously.
With this kind of treatment, if Luo Hao cannot be elected as an academician of the Academy of Engineering before the age of 40, Dean Zhuang will definitely not believe it, unless Luo Hao doesn't want to.
"Dean Zhuang, why don't we take a look?"
"Pa~" A stack of documents was thrown on the table by Dean Zhuang, "Where is your scientific spirit! You can be considered a doctor!"
Routine blood tests were done intermittently, and the platelet value did not change much, fluctuating between 43-46.
Not to mention the legend that Luo Hao has deeper connections in the imperial capital. Someone has paved the way for Siqing, so Luo Hao doesn't need to worry about it at all.
My daughter, 25 years old, is in her prime. Before she even has her grandson, she develops a blood disease. No one can accept it.
"Um...Luo Hao took blood from Xiaoyan and said he wanted to do a test for himself."
Feng Zixuan hesitated.
The chief dean of a large domestic tertiary hospital has no money? What a joke.
"Director Feng, please ask what's going on." Dean Zhuang made arrangements after thinking about it.
"Luo Hao said Xiaoyan is fine, what do you think?" Dean Zhuang asked, looking into Feng Zixuan's eyes.
"Prepare for consultation."
Dean Zhuang's face was a little dark.
"Besides, I've always been worried about the treatment I'd receive from the Japanese during World War II when I went there, so I forgot about it."
……
"Professor Luo is usually very steady and never messes around. What does he want to do this time?" Dean Zhuang began to whisper to himself as he spoke.
If it were anyone else, Dean Zhuang would have called and scolded him long ago.
By the way, this little guy Luo Hao is really nice to talk to and nothing is wrong. Dean Zhuang also hopes that his daughter will be fine.
But Luo Hao is different.
"Emmmm." Dean Zhuang muttered.
"If you have anything to say, just say it." Dean Zhuang said solemnly.
"I believe Professor Luo." Feng Zixuan said seriously, "If he says it's okay, then it must be okay."
Luo Hao was responsible for the colonoscopy health care task in the province. His expectant expression and words to Luo Hao when he came out on the 1st, as well as the relationship between Luo Hao and Director Geng, also made Dean Zhuang feel a little worried. fear.
Dean Zhuang has consulted many experts in the hematology department and highly suspects it to be a blood disease such as aplastic anemia.
"Xiao Yan calls Luo Hao senior brother? They are not from the same school, so why call him senior brother?"
But seeing that Zhuang Yan seemed to be telling the truth, Luo Hao didn't dig into it. Even if it’s just a dream, it’s good to keep doing it.
Luo Hao smiled.
"I won't go." Dean Zhuang said solemnly, "After the operation, Shen Zizai will contact you and ask Luo Hao to come and participate in the consultation. I would like to see what Luo Hao wants to say."
"That's true." Zhuang Yan nodded and acknowledged Luo Hao's statement, "But I still think that side is more suitable for rich people. My dad is not rich, so life may not be very comfortable after going there."
"Many graduate students and doctoral students in the Imperial City call Professor Luo their senior brother. I heard that Professor Luo was the one who guided their experiments when they were free, so as not to delay their graduation."
"There is a finance professor from Dongcai who immigrated in 18 years. Before that, he seemed to be as famous as Professor Lang. After he went there, he started delivering food. Later, he once delivered food to the white area. The person who opened the door was a Chinese. The Chinese asked him, are you that idiot? ?”
Parents, I understand.
"Dean Zhuang, the operation is finished."
Feng Zixuan lowered his head.
Dean Zhuang usually doesn't talk like this, probably because of Zhuang Yan's illness.
I didn’t expect that in my own hospital, my own daughter would not be affected by my own words. Isn’t this nonsense?
Dean Zhuang felt a little ridiculous.
Feng Zixuan turned around and went out, dialing the phone.
Dean Zhuang was in a state of confusion.
Soon, Feng Zixuan came back.
His expression was surprised and he hesitated to speak.
"Director Feng, what's going on?" Dean Zhuang asked.
"Uh...Professor Luo...Professor Luo..."
"Pah~" Dean Zhuang could no longer bear Feng Zixuan's hesitation. He slapped the table, stood up and asked sharply, "What's going on!"
"Professor Luo said it was a problem with the test tube and the machine, EDTA-dependent agglutination."
"What?"
"I'm looking it up." Feng Zixuan held his cell phone and searched for a long time, but there wasn't even an entry.
I was anxious but couldn’t search on professional websites.
"Let's go and take a look." Dean Zhuang finally couldn't bear it anymore, stood up and strode out of the office.
"Xiaoyan, where are you?"
"Dad, I'm fine. My senior brother said it's EDTA-dependent agglutination. I'm listening to my senior brother's lecture at the interventional doctor's office."
Zhuang Yan's voice was extremely low, as if she was listening to her boss's lecture but was interrupted by her old father.
"It's hung up."
After saying that, Zhuang Yan hung up the phone.
lecture?
Dean Zhuang was not angry, but felt relaxed in his heart.
Who wants their children to get sick?
Since Luo Hao had a diagnosis and gave lectures instead of treatment, he should be fine.
EDTA-dependent agglutination…
Dean Zhuang scratched his head.
What kind of disease is this?
Arriving at the interventional doctor's office, Director Zhuang saw Luo Hao standing in front of the noteboard, writing on the blackboard with a black marker in his hand.
Writing standards on the blackboard is like a professor giving a lecture.
"Platelet count is one of the items that we must be vigilant about when issuing reports. Once this number is misreported, it will bring wrong guidance to the clinic and bring unnecessary burden and pressure to patients."
"In addition to considering various diseases that reduce thrombocytopenia, if there is no history of liver cirrhosis, splenomegaly, or confirmed blood diseases, microscopic analysis must be done."
Luo Hao said and began to draw a picture on the blackboard.
When Dean Zhuang saw Zhuang Yan sitting upright and listening to the lecture attentively, he pressed his hand and motioned Shen Zizai, who had stood up, to sit down.
"Not all low platelets are true, there are also false ones."
“常见原因有:1、EDTA依赖引起的血小板聚集;2、大或巨大血小板引起的假性减低;3、血小板冷凝集;4、临床用药所致;5、血小板卫星现象。”
“Blood collection tubes are what we usually call purple tubes and are the most commonly used anticoagulant.
To put it bluntly, it is a chemical added to purple blood collection tubes to prevent blood coagulation.
Then the platelet aggregation caused by it is called EDTA-dependent platelet aggregation. This phenomenon will lead to a false reduction in platelet count in routine blood tests. "
"Senior brother, isn't it anticoagulant?" Zhuang Yan raised her hand and asked a question in a standard and well-behaved manner.
Dean Zhuang felt an inexplicable anger rising in his heart.
Zhuang Yan had never been so well-behaved at home. Dabaicai, whom she had raised for many years, was so well-behaved towards Luo Hao. This was unbearable!
But Dean Zhuang did not have an attack on the spot, but sat sulking.
Luo Hao continued to talk about the relevant content.
Ten minutes later, Luo Hao put down the black marker.
“When encountering similar situations, we have to do the following.
1. Replace other anticoagulants for testing;
2. Collect blood samples without anticoagulants and put them on the machine for testing immediately;
3. Collect peripheral blood and detect it after pre-dilution;
4. Test after adding some drugs such as amikacin;
5. For cold condensation, place it in a 37°C warm bath for 30 minutes and test immediately.
It’s not over yet. It needs to be emphasized that no matter which method is used, a film microscopy will be performed to determine whether the instrument’s test results are accurate, and finally an accurate platelet value will be obtained. "
One, two, three, four, five, typical engineering thinking.
"Senior Brother Luo, I have another question." Zhuang Yan raised her hand to ask.
"You said."
"These are supposed to be routine procedures in the laboratory. So why didn't the doctor in the laboratory perform a review?"
Feng Zixuan shuddered.
This question asks directly to the soul and to the problem of this court.
"Oh, that's right." Luo Hao smiled, "So you Peking University students don't have solid basic knowledge."
"!!!"
"!!!"
"About 8-10 years ago, similar clinical problems occurred. Mindray Medical began research and later produced the Mindray 7500, which can be directly depolymerized and is very easy to use. The machine we purchased as a freshman was the Mindray 6 purchased 7500 years ago. So nothing like this has happened in many years.
I checked this with the doctor in the laboratory when I had my microscopic examination just now. "
Everyone was stunned, including Dean Zhuang and Feng Zixuan.
Dean Zhuang has no idea when the Mindray 7500 was purchased.
His responsibility is to sign. As for whether the things he bought are useful or not, that is a matter for the laboratory department. Dean Zhuang doesn't know how to manage money at all.
“The Mindray in the Laboratory Department broke down 7500 years ago and is being repaired. The old machine is now used for testing.
Therefore, inspection errors will occur.
This kind of thing is old history. Doctors who have not experienced that era have no idea what is going on. "
"Just like too many laparoscopic surgeries are performed, large thoracotomy and laparotomy are not done in a very standardized way."
"Clinical basics are not all learned in textbooks, which is why I say your basic knowledge is not solid enough." Feng Zixuan burst into tears.
The Mindray 7500 should be a machine used by the laboratory department for testing. He remembered that the laboratory department and the medical office had registered it.
But who would have thought that the test results would change with different machines.
Even the director of the laboratory department had long forgotten these things because so many years had passed, so he made a mistake.
Seeing Luo Hao standing in front of the blackboard and talking, Feng Zixuan was stunned.
Is this considered clinical experience?
It seems to count, but it seems not to count.
What it is, Feng Zixuan can't say clearly.
"Experienced laboratory doctors knew this in the past, but as machines become more and more easy to use, young and middle-aged doctors have forgotten many things."
"That's about it. Don't worry about your problem under the microscope." Luo Hao said firmly, "The vast majority of EDTA-dependent agglutination is transient and will not be a problem."
"Hey~~~" Zhuang Yan breathed a sigh of relief.
Although Luo Hao repeatedly said that she was fine, she was a master of medicine after all, and she was lying to herself if she said she was not worried.
"That's it." Luo Hao looked at Dean Zhuang, "Dean Zhuang, there is nothing wrong. I have also had a reexamination. The platelet count is 215, which is completely normal. There is no need for bone puncture."
Dean Zhuang was a little confused.
"Dean Zhuang?" Feng Zixuan whispered in his ear.
"what?"
"Congratulations, Xiaoyan is fine." Feng Zixuan smiled all over his face.
He knew why Dean Zhuang was in a daze, so he didn't say much else, just congratulations.
Dean Zhuang let out a sigh of relief.
Luo Hao was sure, but he couldn't keep up with the value on the last test report.
Not only ordinary people, but also clinicians only believe in objective values.
"You go to my office to find Director Ma of the laboratory." Dean Zhuang and Feng Zixuan whispered in a low voice.
Then he stood up and said softly, "Thank you."
"You're welcome." Luo Hao smiled.
"You haven't eaten yet, let's eat together in the cafeteria."
Luo Hao nodded.
After all, I am in the first hospital of a medical university and have a good relationship with the dean, so there is no problem.
Arriving on the second floor of the cafeteria, the master chef cooked some side dishes for him. Dean Zhuang grabbed Luo Hao and asked some related questions.
Luo Hao answered everything with good reason and evidence.
Similar situations are considered isolated cases in ordinary hospitals, even in the first hospital of the top medical university in the province, but they are not uncommon in Union Hospital. Hundreds of similar patients have always been encountered.
Aunts who say that they clean the house know that it is a bit exaggerated, but it is basically true.
"I didn't expect..." Dean Zhuang was a little embarrassed. "It used to be said that doctors from Union Medical College were biased against doctors who graduated from other medical schools. I thought it was a faction issue, but it is really the case."
"After all, it is the last stop in the country." Luo Hao said with a smile.
"Professor Xiao Luo, that's amazing!" Dean Zhuang was convinced.
"Okay, okay." Luo Hao replied politely.
Seeing that the topic had failed, Feng Zixuan said with a smile while eating vegetables, "Dean Zhuang, Professor Li from the Department of Nephrology and her lover have gone for a paternity test."
"Huh? Why are you doing a paternity test?" Dean Zhuang's attention was successfully drawn away, and the atmosphere that had fallen to the ground became active again.
Chen Yong's eyes lit up and he listened intently.
Shen Zizai glanced at Meng Liangren but said nothing.
"Her child is already 5 years old and can't add or subtract within ten. Professor Li was the youngest professor in our hospital before Ronaldinho came. Her wife also has a doctorate from the 985 school and is now working in a research group at the University of Technology. Satellite Project."
"Both of them are highly educated, and I estimate their IQ to be over 150. In Professor Li's words, it is highly suspected that the child was held in the wrong hands."
"Is the woman going to check? Or is it my doctor?" Chen Yong was surprised.
"Yes." Feng Zixuan loved Wujiwu and was very kind to Chen Yong, and said with a smile, "The couple took the child for a paternity test, and it turned out that it is indeed their child, biological."
"Hahaha." Chen Yong laughed.
Luo Hao also smiled and shook his head.
"They say dragons beget dragons and phoenixes beget phoenixes, but hereditary things are really a bit unreliable." Feng Zixuan said, "By the way, when it comes to paternity testing, there was a gangster named Shi Erqun in Zhumadian a few years ago."
"In 99, he robbed a bank, made his first pot of gold, and then became prosperous. Later, he had 4 first wives, nominal wives, and countless other women. In 15 years, he suspected that a child was not his biological child, so he went to A paternity test was done.”
"As a result, the good news is that the child is indeed his, but the bad news is that the biological sample matches the sample from 99, and he was arrested directly."
Luo Hao didn't want Dean Zhuang to be too polite and continued following Feng Zixuan, Director Feng's words.
"We at Xiehe once did a paternity test."
We are in harmony. These four words make Dean Zhuang feel extremely uncomfortable.
But Luo Hao didn't care and insisted on saying so. Dean Zhuang's heart moved, he frowned and began to think.
Feng Zixuan noticed Dean Zhuang's expression and remained calm.
"There was a paternity test, and the result was - there is a blood relationship, but not father and son. I was afraid that there would be an error in the test, so I did it five times, but the result was still the same. Everyone guessed that the child is the grandfather's, that is, the husband of the child's mother. It's brothers."
Luo Hao's words were very convoluted, but after thinking about it carefully, there really wasn't any problem.
rigorous!
When driving a car, who is afraid of whom? With the jokes, the atmosphere suddenly became lively.
Chen Yong smiled and talked about some things he had seen on Qingcheng Mountain, which made Zhuang Yan stunned.
After eating, Luo Hao left with the medical team and Shen Zizai.
"Director Feng."
"Dean Zhuang, Professor Xiao Luo is really a talent." Feng Zixuan praised.
"You and Dean Jin will give Professor Luo Haoluo a letter of appointment."
"Yes." Feng Zixuan remained calm, but knew that he had guessed correctly.
"Hurry up and contact the college and let Professor Xiao Luo go to class." Dean Zhuang said, "It's too awkward to say that we are working in the First Hospital of the Medical University. Besides, it's too awkward to go there with the title of professor." Go to class and cause trouble.
Isn't Ronaldinho applying for the Fourth Youth League? He has to go to the Medical University..."
Dean Zhuang was suddenly startled as he spoke.
Luo Hao should go to Union Medical College instead of his own medical university.
Oh shit! There is really no flaw, there is no way to handle this kid.
"Yes, I'll hurry up." Feng Zixuan laughed wildly in his heart.
Indeed, Luo Hao must know that this matter makes people feel uncomfortable, but he still has to say it.
Feng Zixuan stood by Dean Zhuang on how to handle this matter.
……
Luo Hao returned to the ward and sat in the sun with his cell phone, reading papers.
The sun is very warm, and people in the sun feel lazy.
"Luo Hao, why does Zhuang Yan seem so close to you? Have you ever had an affair?" Chen Yong found an opportunity to come over and ask in a low voice.
"Don't make trouble." Luo Hao glanced at Chen Yong, "That's out of respect for senior brother."
"Tch, can you please stop making trouble?" Chen Yong said disdainfully, "Just respect? Didn't we know each other before?"
"Of course I don't know him," Luo Hao said. "I made a lot of good connections when I was in school. My junior brothers and sisters, as well as some senior brothers and sisters, have a good relationship with me."
"Tsk, tsk." Chen Yong tskted twice, not knowing what he meant.
"By the way, I have something to tell you." Luo Hao put down his phone and looked at Chen Yong seriously.
"Say, don't be so serious." Chen Yong frowned slightly and moved his mask.
"When I talked about the paternity test just now, I thought of a senior brother." Luo Hao looked into Chen Yong's eyes and said calmly, "I didn't stay in Xiehe after graduation, but went back to my hometown to work in a tertiary hospital. We Xiehe..."
"I know that your Union graduates are awesome, so stop bragging and get down to business." Chen Yong interrupted Luo Hao.
Luo Hao smiled and continued, "When he was 32 years old, he wanted to mention the vice president and began to publicize it. The husband of a nurse in the department received an anonymous call saying that the child was not his, but my senior brother's."
"Oh!" Chen Yong became interested.
"The paternity test showed that it was indeed my senior brother's. Later, there was a big fuss, and the whole city was in trouble. Their hometown is not big, and other people gradually found out about it. The husbands of other nurses in the core also felt that there was something wrong. After checking, …”
"There are three other nurses whose children belong to my senior brother."
"Fuck! Seeder."
"Well, just because of this incident, I pushed him to the end, from the vice president to the emergency doctor, and then to the fever clinic."
"Tsk, tsk, you are really talented."
"I'm telling you." Luo Hao looked at Chen Yong and said seriously, "Let's play, let's make trouble, don't cause so many bad things."
"Don't worry, I know what's going on!" Chen Yong said firmly.
Luo Hao nodded.
Chen Yong looks like a hot-blooded guy, but he's actually a bitch.
When I was in India, I even paid attention to eating fruits.
Although he still got sick in the end, it had nothing to do with Chen Yong's caution and was beyond human control.
It's good to know, Luo Hao doesn't want Chen Yong to be troubled by these nonsense one day in the future.
It is also appropriate to say something in advance to remind him.
Everyone is busy with their own things, and time flies quickly.
"Senior brother." Zhuang Yan walked in timidly. It was obvious that she seemed to have a natural fear of Luo Hao.
To say that bloodline suppression is a bit excessive, but Chen Yong felt that Zhuang Yan had a feeling of bloodline being suppressed when she spoke to Luo Hao.
Isn't it Luo Hao who is showing off? Chen Yong thought in his heart.
"Oh? Why are you here?" Luo Hao asked, "You're not sick. Take the time to report back to school. Have you written your graduation thesis? If you don't know how to write it, you can give me a look."
"Hey~~~" Zhuang Yan let out a long breath.
Senior Brother Luo is really considerate.
"Is there anything else?" Luo Hao raised his head and looked at Zhuang Yan, with an expression that said he was thousands of miles away.
"Senior brother, I...I..." Zhuang Yan was timid when Luo Hao looked at her.
Bloodline suppression!
Pure bloodline suppression!
Luo Hao frowned and looked at Zhuang Yan.
"Ding dong~"
The task prompt sounds.
Huh? Zhuang Yan’s mission? Luo Hao was surprised.
But after taking one look, Luo Hao was speechless and remained silent.
[Emergency mission: the endangered method of stopping bleeding with bare hands. 】
(End of this chapter)
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