White armor

Chapter 18 Hospital-wide consultation

"Little Luo." Director Wen complained to Luo Hao when he saw Luo Hao, "Look at the Department of Gastroenterology, what it looks like! The patient's gallbladder has been removed, and the diagnosis is clearly liver abscess. Your medical office has a clear diagnosis It is stipulated that patients with liver abscess should go to gastroenterology for treatment.”

"It's just nonsense to send this kind of patient to me! This is a recommended patient. You happen to be here and you can tell me what the medical office's opinion is."

"Director Wen, I will report this matter to Director Lin immediately." Luo Hao lowered his voice and said, "Please bring the patient in first. Don't leave the patient hanging out in the corridor."

"This!" Director Wen glared.

"What I mean is to organize a hospital-wide consultation. We will explain things clearly in person and turn the patient over. As for whether it can be cured, it has nothing to do with our general surgery. It is the Department of Gastroenterology that is doing something wrong now, and it is always wrong to blame the patient. Yes, but no matter what, you cannot leave the patient hanging in the corridor."

Director Wen thought for a few seconds and said, "Chen Yong, please bring the patient in."

"Little Luo, do you want to report to Director Lin or should I come in person?" Wen Youren was not satisfied with Luo Hao's handling and asked angrily with his lips curled up.

personally?

Luo Hao almost stopped laughing when he heard what Director Wen said.

Director Wen really takes himself seriously. The word "personally" sounds a bit funny.

"Director Wen, let me report first. There are many trivial matters. Director Lin knows about them. Then you can express your attitude and apply some pressure." Luo Hao gave a very considerate suggestion.

Seeing that Director Wen was still dissatisfied, Luo Hao smiled, "I would suggest that the scale of the hospital-wide consultation be larger, as long as all relevant departments or departments related to geriatric diseases come. Let's explain the matter in front of the directors of all departments in the hospital. It’s clear that the Gastroenterology Department didn’t do this properly. If there are more people, they will have scruples next time if they do it again.”

"Yes! Call all the directors of the hospital to see what the Department of Gastroenterology is." Director Wen agreed in a low voice.

Luo Hao's every word spoke to his heart.

In Wen Youren's opinion, this matter was the Department of Gastroenterology deliberately passing the buck to the patient.

He couldn't treat a difficult patient himself, and then he sent the patient to the general surgery department under the pretense that he had undergone a cholecystectomy 20 years ago.

It is simply ridiculous. What is the relationship between the cholecystectomy performed by the patient 20 years ago and the current liver abscess!
Bullshit! !
Director Wen looked at Luo Hao with great satisfaction. He felt that this young man was simply outstanding. He could see the essence of the problem at a glance and was willing to help the general surgery department rather than fight with others.

"Thanks for your hard work, Ronaldinho." Director Wen said a rare "Thank you for your hard work."

"Director Wen, it's not hard, this is what I should do. You are busy first, I will report the situation."

Luo Hao did not go back to the medical office directly, but helped Chen Yong take the patient in and learn as much information as possible.

Based on Luo Hao's own judgment and the confirmed diagnosis calculated by the diagnostic assistant AI, Luo Hao believed that the diagnosis of cesspool syndrome was correct.

However, Luo Hao knew that the matter was very important. He asked about the medical history and found out that the surgery 20 years ago was also performed at the mine. He went to the medical record room.

Until he found the "old" medical record, Luo Hao showed a confident smile on his face.

Back at the medical office, Luo Haoxian and Lin Yuming reported the patient's condition.

"The surgery was performed by the old director of the Department of Surgery Guohua 20 years ago. I even went to the medical record room and borrowed the medical records from that year."

"Twenty years ago... back then it was pretty good to be able to write medical records. Most of them were copied randomly by interns." Lin Yuming asked, "Is it valuable?"

"Yes!" Luo Hao took out a yellowed medical record and put it on the table. "The medical records and disease course records have no reference value, but the handwriting of the operation records is different from the handwriting of the person who wrote the medical records. I think it should be the national Director Hua wrote it himself."

"Oh?!" Lin Yuming's eyes lit up.

Nowadays, with electronic medical records, directors and surgeons rarely write surgical records.

In those days, medical records were written by hand. There must be a reason why the old director Guohua could write surgical records by hand!

"The patient's situation is somewhat special. Although he was diagnosed with cholecystitis and gallbladder stones, Director Guohua did not perform a simple cholecystectomy during the operation, but also performed a difficult side-to-side bile duct and duodenum anastomosis."

"Director Guohua wrote very clearly that the patient had silt-like stones in the common bile duct, so a side-to-side bile duct duodenal anastomosis was performed."

Lin Yuming found the page of surgical records and flipped it gently.

Years have passed by, and this medical record has not been touched since it was put into storage.

A faint musty smell wafts from the medical records, silently telling future generations what happened that year.

"How to diagnose patients now?" Lin Yuming asked directly.

“Cesspool Syndrome.”

"???" Lin Yuming had a question mark on his head.

“This disease is also called blind end syndrome, blind bag syndrome, and blind pit syndrome. It is a rare complication after side-to-side choledochoduodenal anastomosis.

It refers to the accumulation of food residues, stones, etc. in the blind bag formed from the choledochojejunostomy to the ampulla of Vater after side-to-side choledochoduodenal anastomosis, thus causing a series of clinical symptoms. "

Lin Yuming could roughly understand what Luo Hao described.

"Does surgery need surgery?"

"In the past, surgical intervention was required. But in the past ten years, endoscopic papillary sphincterotomy, commonly known as ercp surgery, plus biliary clearance has been mainly used for treatment."

"Endoscopy." Lin Yuming's hand tapped lightly on the medical record.

A ray of sunlight shines in, and in the light, the dust in the old medical records flies up and floats gently.

Lin Yuming was deep in thought.

Hit the snake and hit seven inches.

There must be conclusive evidence to beat Wen Youren to death with a stick. Even if he does not die, he must be unable to hold his head high in the mine.

Beating Wen Youren was only one of his purposes. Lin Yuming also wanted to take the opportunity to develop new technologies.

It was great to hear what Luo Hao said, but the key point was that Lin Yuming had no idea what was going on with this disease.

After a cholecystectomy 20 years ago, the postoperative complications took so long to break out. Lin Yuming subconsciously thought that the possibility was unlikely.

But his trust in Luo Hao grew day by day.

Lin Yuming caught a glimpse of Luo Hao from the corner of his eye. Lin Yuming was in a daze. Unknowingly, Luo Hao was already a young man.

In the light and shadow, he vaguely saw his old friend.

Luo Hao looks so much like his father.

"Uncle, do you still have any questions? I think you can consult Teacher Liu. If Teacher Liu is not sure..." Seeing Lin Yuming's silence, Luo Hao thought he had concerns, so he gave his own suggestions.

"What other tests are needed?" Lin Yuming asked.

"Magnetic Resonance Cholangiopancreatography."

"Okay, tell me again what you and Wen Youren said."

Luo Hao once again recounted his conversation with Director Wen Youren Wen, word for word.

"Take the patient for examination. The diagnosis must be clear and cannot be vague. If you are not sure, just tell me and I will consult the experts in the province. Of course, you can also consult your teacher." Lin Yuming said in a low voice.

"it is good."

Luo Hao left, and the A4 paper in front of Lin Yuming was filled with words that only he could understand.

Picking up the phone, Lin Yuming called Deputy Director Liu.

"Lao Liu, you said that if there were any complications from the cholecystectomy 20 years ago, they should have appeared long ago." After a brief description, Lin Yuming asked.

"Boss Lin, generally speaking, the peak period of complications occurs within 5 years after side-to-side choledochoduodenal anastomosis. 20 years, it is not unprecedented." Liu Haisen replied.

But when the conversation changed, Liu Haisen said easily, "Boss Lin, the diagnosis was not given by you, nor by the directors of your mine. It was Luo Hao. I guessed it right."

"..." Lin Yuming was startled.

"This disease is not common. I'm afraid your mine manager won't be able to perform side-to-side choledochoduodenal anastomosis." Liu Haisen said, "If you can't even perform the operation, let alone the complications 20 years later."

"Luo Hao told me. I'm not sure, so I'm asking you now."

"It is right to do an MRI next. After diagnosis, there are several solutions. In the past, it was solved by surgery, which was difficult and risky. Recently, Director Shi did several cases of similar patients sent from hospitals in the following cities, and the results were good. "

"!!!" Lin Yuming's eyes lit up.

"Do you have ercp equipment?" Liu Haisen asked.

"Yes." Lin Yuming said jokingly, "In the past few years, there was money in the mining area, and almost all new equipment was purchased upon request. It was still the most advanced. It was really good back then. There were not so many messy things now."

"It's been ten years, can it still be used?"

"It should be usable. Although it is eating dust, I will follow the manufacturer every year for maintenance." Lin Yuming said, "ERCP can solve it, right?"

"Yes, but the information must be complete. In this case, you won't understand, Boss Lin. I will communicate with Luo Hao."

You don’t understand either, this is a bit offensive.

But Lin Yuming didn't take it seriously. When he was in college, there were many more ugly words than this. They were all daily, everyday.

Besides, this is the truth.

After hanging up the phone, Lin Yuming took a pen and scratched it out on the A4 paper, writing what he wanted to do next like ghostly symbols.

Wen Youren?
Hey!
I'll give you a good look.

……

……

Luo Hao and Wen Youren "reported" and persuaded him to perform magnetic resonance cholangiopancreatography on the patient.

Wen Youren's skills are limited to simple cholecystectomy, gastrectomy, intestinal resection and anastomosis. He knows nothing about the difficult diagnosis and differential diagnosis of pancreatic duct and bile duct.

He readily agreed.

a few hours later.

The patient's pain was relieved after anti-inflammatory and symptomatic treatment.

Luo Hao and Chen Yong took the patient for magnetic resonance cholangiopancreatography.

After the images came out, Chen Yong frowned and looked at the images on the screen, "Luo Hao, there are ill-defined low-signal filling defects in the intrahepatic and external bile ducts. There should be foreign bodies."

"Well, it is considered that there is intestinal content at the choledochoduodenostomy site that causes obstruction."

"Sure enough!!" Chen Yong clenched his fists, while Danfeng narrowed his eyes and stared at the screen, "My master said that the patient probably had a side-to-side choledochoduodenal anastomosis! The images prove that the master is right!"

Luo Hao nodded. Jiang Wenming was really great. It was a pity to leave the clinic.

But there is no way, everyone has his own ambitions.

"I just said that Director Wen must be wrong. Luo Hao, did your medical office have nothing to say?" Chen Yong asked.

"Expression? What expression do you want?" Luo Hao asked.

“In clinical treatment, right is right and wrong is wrong, black and white!”

When it comes to distinguishing between black and white, Chen Yong's eyes are extremely firm.

He was not wearing a three-layer mask, and his handsome face seemed to have the words black and white written on it.

"Director Wen is the director after all, and his face must be taken into consideration." Luo Hao said vaguely.

"You...you are such bastards!!" Chen Yong was angry.

It was really easy to get angry, Luo Hao smiled slightly.

"As long as the patient is treated properly, the disease can be cured, isn't it?" Luo Hao asked.

"What happens after that? Director Wen's level is so low, and he suppresses other doctors wantonly. My master did a good job in surgery, but he forcefully forced him to go to the outpatient clinic."

"The outpatient clinic is pretty good. At least you don't have to work night shifts. Besides, don't you think you have the idea of ​​using public equipment for private use? It doesn't seem that noble."

Luo Hao said a few words, then turned back and started preparing the video materials.

Liu Haisen started a group and gathered himself, Luo Hao, Lin Yuming, and Director Shi in the group for the convenience of talking.

After checking various information and finding nothing missing, Luo Hao sent the patient's cloud information to the group.

[Teacher Shi, please take a look and see if our diagnosis is correct. 】

[Wait a minute, let me take a look. 】A few minutes later, Director Shi replied with a message.

Director Shi didn't leave a positive reply until he sent the patient back.

Luo Hao's diagnosis was correct and he recommended that the patient undergo endoscopic papillary sphincterotomy + biliary tract clearance.

What happens next is not what Luo Hao cares about.

The uncle is going to deal with Director Wen, otherwise Director Wen would really not be able to handle such a stupid thing like inciting the patient's family to sue the hospital.

"You guys are going too far." Chen Yong kept talking, but his voice became much softer after being scolded by Luo Hao.

"It's okay, it's okay. At least the patient has a diagnosis." Luo Hao comforted, "Director Lin is contacting experts from higher-level hospitals to perform minimally invasive surgery. Don't worry, the disease can definitely be cured."

Chen Yong's face looked a little better, but he was still full of disdain for Luo Hao.

Luo Hao also had a good impression of this young doctor who believed that black was black and white was white.Even though Chen Yong has always been disdainful and slightly hostile to him.

"Let's go have a cigarette. Don't be angry." Luo Hao settled the patient and took Chen Yong to the fire escape.

"Smoke-free hospital!" Chen Yong's words were very strong.

"Harm, I can see your master smoking." Luo Hao didn't care and smiled, "Let's go, don't be angry."

Chen Yong glanced at Luo Hao, seemed to remember something, and stood up "reluctantly".

The two of them went out and met a 1.7-meter-long beauty, about 25 or 6 years old, wearing a khaki long coat, stockings, and high heels.

With this outfit and the current weather, Luo Hao shuddered when he saw it.

The beauty’s anti-freeze index is really incredible.

"Why are you here?" Chen Yong stopped and asked with a straight face.

"You said, I can't come yet? Did it delay your date with the nurse?" The woman smiled sweetly and just made a joke. For fear that Chen Yong would be angry, she said softly, "I've brought you food."

"..."

Looking at the insulated lunch box handed over by the woman, Chen Yong did not reach out to take it.

Chen Yong was pretty good, and someone even brought food to him, while Luo Hao stood aside and watched the fun.

"Bao, let me tell you something." The woman said affectionately.

"You said."

"If we quarrel again, can you come over and hug me without getting angry? Just give me a hug." The woman said delicately, "We are lovers, not enemies. Don't always keep a straight face."

"Do you know that at that time you were harder to press than a pig during the Chinese New Year?" Chen Yong asked.

"you!"

Luo Hao reached out and pushed Chen Yong from behind.

"We need to prepare the information for the hospital-wide consultation later, so hurry up." Luo Hao reminded Chen Yong in a low voice.

Chen Yong realized that now was not the time for romance, so he took the lunch box and whispered a few words to the woman.

The woman smiled like a flower and turned to leave.

The khaki coat seems to have turned into a flower, a flower in full bloom.

Arriving at the fire escape, Luo Hao joked, "Yes, there are people delivering meals. I have been in the hospital for almost two years, and I have a lot of clinical contact. I have never seen anyone from my family delivering meals."

"It's boring." Chen Yong took out a cigarette and lit it without giving it to Luo Hao, then sat carelessly on the steps.

"You don't admit it even after you put on your long johns. It's a typical scumbag mentality."

"That's nonsense." Chen Yong said, "I do things honestly. I promised at the beginning that we would only fall in love and not get married."

"Uh……"

"You're not just greedy for my body."

"Fuck!"

Luo Hao really didn't know that Chen Yong was so narcissistic, and he didn't know who gave him the courage.

"That girl looks good."

"A wise man never falls in love unless he meets a rich woman."

"Who did you learn all these things from?" Luo Hao asked.

"My master." When Chen Yong talked about Jiang Wenming, his tone softened a little.

"..."

"My master said that there are several new ways to do good deeds and accumulate virtue - don't advise people to get married, don't advise people to have a second child, and don't prevent people from getting divorced."

"Is he single?"

"Well, I've been divorced for five or six years."

Luo Hao thought of his uncle. According to Jiang Wenming's standards, his uncle was not considered a good deed.

"Write the medical record carefully. When you finish it, I will review it."

"!!!" Chen Yong looked at Luo Hao like he was an idiot.

"You know how to bully people, don't you?" Chen Yong said disdainfully, "Director Wen, you don't dare to move, you just know how to bully little doctors, you are the same as the others."

"It's all for your own good." Luo Hao smiled.

"Everything is done under the banner of being good for you. This is also the mantra of the old men in the agency. What else is there? By the way, if you are willing to do it, do it. If you don't dare, get out. You are the only one who has the ability. Go to the pediatrician if you have the ability. Tell me, do you think the pediatric department of our hospital can hold on?"

"So much whining."

"Complaining? I'm just stating a fact." Chen Yong already regarded Luo Hao as one of the senior men in the agency, and didn't bother to say a word.

He put out the cigarette and staggered out of the fire escape.

Luo Hao ignored Chen Yong. If he wrote the medical records well, he would become a little transparent when the whole hospital consulted.

Otherwise, Chen Yong might be dragged out by Director Wen to block the gun.

Luo Hao only had some affection for Chen Yong's master, Jiang Wenming, and had no interest in this guy who was always flirting with women and full of inappropriate things.

Lighting a cigarette, Luo Hao sat on the steps of the fire escape and began to think carefully about the ERCP surgery.

I have never done any similar surgery before, so it is very important to do it before the surgery.

Luo Hao used the system surgery training time carefully.

First surgery, 70% complete.

Luo Hao regained his composure in an instant. There was an operation that was very difficult when the Nets were removing stones, and they needed to keep improving.

But this is secondary.

After undergoing an operation, Luo Hao realized that some consumables may not always be available.

After some calculation, Luo Hao took out his mobile phone and made a call.

"Manager Yin, I remember that the company invested in a medical device company three years ago."

"Mr. Luo, yes." A deep, magnetic voice came from the other side of the phone.

"Are there any ERCP surgical supplies? I need them urgently." Luo Hao made the request.

After selling his Bitcoin that year, Luo Hao put part of the money in a trust company with a long history in Xiangjiang.

But the rich die in trust.

A certain trust company in China caused heavy losses to many high-net-worth families. After that, Luo Hao took out 75% of the funds and deposited most of them in the bank for fixed term. The other part established two companies - Luo Lin Real Estate Company and Luo Lin Investment. company.

There are professional managers in charge of taking care of it, so Luo Hao doesn't need to worry.

He vaguely remembered that he had invested in a domestic medical consumables company, and he happened to be in need now.

Luo Hao glanced at the system panel in the upper right corner of his field of vision. The luck value of 33 was shining brightly.

"Mr. Luo, I will provide the relevant content within 30 minutes..."

"No need to be so detailed. If there are consumables for ERCP, please help Manager Yin find one for me to use for surgery. If not, buy one temporarily, or help me bring the consumables through the channels of a medical consumables company. You See if that’s okay.”

There was silence on the other side of the phone.

"Okay, that's it. I'm busy here and waiting for your news, Manager Yin."

"Okay, Mr. Luo, as you wish."

After hanging up the phone, Luo Hao entered the system operating room again and started surgical training.

A few minutes later, Luo Hao left the fire escape with satisfaction.

The surgery was 100% complete. Although the cost was that all the system surgery training time was consumed, Luo Hao was still very satisfied.

Back at the doctor's office, Chen Yong was busy writing medical records without saying a word, as if he didn't know Luo Hao.

Luo Hao didn't care, standing behind Chen Yong and watching him write medical records.

"Hey, can you stop standing behind me!" Chen Yong immediately protested.

"You have to show me sooner or later. I am stationed in the general surgery department on behalf of the medical office." Luo Hao said calmly.

"!!!"

Chen Yong finally understood why Master chose to go to the outpatient clinic.

Although the outpatient clinic also has to deal with these gentlemen, the number of interactions is relatively small.

Md!

Chen Yong cursed in his heart and stopped talking to Luo Hao.

"Ronald, come here."

Just when Chen Yong was feeling awkward in every possible way, Director Wen appeared at the door of the doctor's office to greet Luo Hao.

For the first time, Chen Yong felt that Director Wen looked a bit pleasing to the eye.

"Ronald, how many people in the hospital are participating in the consultation?" Wen Youren asked.

"That should be enough."

"Should? That's not possible." Wen Youren was not happy. "The Department of Gastroenterology, relying on its status as an upstream department, always gives us some difficult and complicated diseases that should belong to them. This is an unhealthy trend and must be stopped!"

"Director Wen, you are right." Luo Hao smiled.

"I suggest, just a suggestion. I hope Ronaldinho and Director Lin will mention it."

"Director Wen, please tell me."

"I suggest that this hospital-wide consultation be conducted in the form of a grand round, with directors of all departments participating."

Luo Hao smiled happily. He saw Wen Youren dug a hole for himself and jumped down.

After contacting Lin Yuming, there was no resistance at all. In the end, the hospital-wide consultation was held in a lecture theater.

Within 4 hours, Luo Hao made a ppt.

Although time was tight, Luo Hao still completed everything in an orderly manner.

At Wen Youren's urging, Luo Hao and him came to the lecture theater.

Most of the directors of many departments in the hospital have already arrived. Their expressions were serious, and they realized that something was wrong. Something big was going to happen today.

(End of this chapter)