White armor

Chapter 184: Old times keep getting stronger—diagnosis is faster than the system

Mr. Fang was very disdainful.

"You're worthy of telling me this if you caught two big fish and couldn't even find a home."

Mr. Chai was proud and laughed silently.

A few days ago, Chai Lao accidentally caught a large carp weighing more than 20 kilograms. He specially found a 28-bar and carried the fish around the community for four hours.

Old Fang's eyes were red when he saw it. Old Chai hit him twice just to say hello, and finally chased him back to his home in Versailles carrying the fish.

"Xiaoluohao is filial to me, but that kid is attentive. Let me tell you, Lao Fang, you can't avenge the public, use public weapons for private use, pretend to be public for private gain..."

"What other idioms do you know about the public character?" Mr. Fang asked unhappily.

"When you review the medical projects of the National Natural Science Foundation of China, you must be dedicated to the public, loyal to the country, self-denial, and everything must be open and honest."

Mr. Fang had a gloomy face and strode out of the VIP channel under the guidance of the staff.

"I caught a big fish a few days ago! It's about to become a sperm!" Mr. Chai glanced at Mr. Fang, mentioned the old story again, and described it again, "I later released the fish. It's not easy to grow so big. Maybe It will really become a sperm in a few decades.”

"Old stubborn." Mr. Chai sarcastically said from behind.

"Lao Fang came here, firstly, to see you, and secondly, because of the need to revitalize Northeast China, he wants to come and see several hospitals here." Mr. Chai said in a low voice, "We are in the provincial capital, where the University of Engineering and the Medical University are great. Too bad.”

"I can't eat it. It's a waste. I just want to piss off these old ghosts. Why bother with such a big fish?"

Luo Hao changed his tone and answered Fang Lao's questions with professional sentences, attitudes, and vocabulary.

"The time is relatively short, and the follow-up records, secondary admissions, and long-term treatment effects are not yet rigorous..."

"Isn't it better after China and Russia opened their mouths?"

"Dr. Luo, where are you leading the interventional department in the First Hospital of Medical University now?" Mr. Fang asked.

Of course, this is compared to the "monsters" who appear under certain special circumstances.

Luo Hao replied.

"Where are you first-year medical students?"

"You're so old, what's the point of fishing if you don't fish?" Mr. Chai scolded, "There's something to do with the hot meal in the fishing car, so why don't you come to me if you're hungry."

Chai Lao said with a smile, Luo Hao was very pleased.

Mr. Fang was quite satisfied with Luo Hao's operation volume, "How is the patient's recovery going?"

Chai Lao asked Luo Hao's hand.

But if you have to shoulder the blame, if it doesn't work, Boss Chai will naturally take care of it. Even if he moves to Fang's hometown, he can solve it.

The boss is causing trouble for himself.

"Boss, have you not eaten well recently? You have only been fishing."

"How is your hospital? The one in Donglian is okay, the decoration is grand, but the technical level is too poor."

It seemed that Mr. Fang was indeed a little unhappy, but Luo Hao had no choice.

Luo Hao then stepped forward and embraced Mr. Chai with open arms.

Regarding the other party's old question, Luo Hao did not talk rhetorically, but just explained the problem realistically.

"Boss, there are more than 40 academicians of the Chinese Academy of Engineering and the Chinese Academy of Sciences, while our Medical University has only two in total, and they are both former presidents and principals. There is no comparison."

“How many surgeries are performed in a year?”

Fang Lao shook hands with Luo Hao like a dragonfly.

"Mr. Fang, I haven't seen you for a long time." Luo Haoke politely bent down and stretched out his hand.

As long as the boss is happy, that's fine.

"I have been here less than three months, and the average number of surgeries per month is about 300."

"It's not bad, I can only say that it's not bad." Luo Hao said, "Last year, the number of surgeries was ranked among the top five in the country. If you remove some water, it will be no problem to rank among the top ten in the country. Boss, you can't be too harsh. I can say that I am in a poor place."

"Yes, Mr. Fang." Luo Hao replied with a smile.

"You two, don't have a small meeting. If you have anything to say, don't say it in front of me!" Mr. Fang turned around and scolded the people from the Health Commission and the provincial and municipal offices who came to greet him.

"Boss, do you still believe this?"

"I didn't check the previous information. I'm too busy recently. Surgery, teaching..."

"Donglian was built with funds when the mining area still had money. According to the standard of 8000 per square meter, it is no worse than our Concordia International Department. Now that the mining area has no money, no one can do anything. It is the law of nature."

Luo Hao sighed inwardly.

The more he talked, the more proud he became, looking at Mr. Fang's back with a smile on his face.

Although the volume of 300 operations a month is not shocking, it is still enough to meet the standard.

It is said that the boss is already in his twilight years, no matter how happy he is, he can be happy for as long as he is happy, one day at a time.

Usually the boss tells you not to get into trouble. If you get into trouble in the future, just don't say that you are your teacher.

Facing him, Mr. Chai saw Luo Hao's familiar smiling face.

But now, Luo Hao really wants to tell Boss Chai - if you cause trouble in the future, just don't tell me about your apprentice.

The scope of involvement is only in the interventional field, and he keeps silent about other rescues and surgeries he has completed.

Mr. Fang was very satisfied with this.

"Let's visit the First Hospital of your Medical University and see the medical construction here." Mr. Fang waited for Luo Hao to finish and then said, "You have a lot of surgeries here every year. Dr. Luo, are you still used to it?"

"It's pretty good." Luo Hao said, "Although the research on rare diseases is not as good as that of the Imperial City, the level of diagnosis and treatment of common diseases is very high. The development of new technologies has not fallen behind and has always kept pace with the times."

Dean Zhuang and Dean Jin let out a sigh of relief.

Luo Hao is not a bad guy, and he can help with a word if something happens. Not much, just one sentence is enough.

Arriving at the First Hospital of the Medical University, the group started from the emergency room.

The emergency department is in good order.

Although he knew that Mr. Fang was coming to visit today and was prepared, it seemed to Luo Hao that it was the same.

The diagnosis and treatment in the emergency department of the First Medical University Hospital are also very standardized.

For example, the patient with ruptured abdominal aortic dissection had already been diagnosed in the emergency department.

The prerequisite for successful self-treatment is a clear diagnosis from the first doctor.

Moreover, the patient was even given a micro-pump to reduce blood pressure in the emergency department, was also given subcutaneous injection of morphine for pain relief, and consulted with relevant departments. The whole process was flawless.

If emergency rooms across the country were at this level, at least many fewer people would die every year.

As for the mezzanine rupture, it was an extremely rare accident and cannot be blamed harshly.

Luo Hao introduced as he walked, including the case of aortic dissection rupture that he encountered last time.

He was not vague about his rescue, nor was he exaggerating. While affirming the emergency first aid level of the First Hospital of the Medical University, he told Fang Lao the entire process of his rescue.

Mr. Fang listened with great interest.

When abdominal aortic dissection ruptures, anyone who knows much about medical care knows that the patient will definitely die, and there are almost no accidents.

But if nothing else, the accident still happened, and it happened to Luo Hao.

Therefore, Mr. Fang raised many questions about this, and Luo Hao answered them one by one.

A doctor who can save aortic dissection will definitely gain enough respect. Even though Mr. Fang thought in his heart that Luo Hao was a flatterer, he didn't say much about it.

It's unreasonable to say too much. If you want to find fault, you can't catch Luo Hao's proud rescue.

"Dr. Luo, that's right, awesome!" Mr. Fang finally praised Luo Hao.

Luo Hao is not modest either. This kind of rescue is very impressive, and it is the kind that can be boasted even in Concorde.

If you are modest, it would be hypocrisy and not beautiful.

The emergency department was on standby, and Mr. Fang was very satisfied.

Then I went to the interventional department and interventional operating room to look around.

Chen Yong, Shen Zizai, Yuan Xiaoli and other leading professors were operating. Mr. Fang came in and walked around without commenting.

The volume of surgeries performed by Luo Hao's medical team can be said to be the backbone of any hospital, and it is not bad even at Union Medical College.

"It's not bad. Dr. Luo has been able to open up the situation within three months of coming to the First Hospital of the Medical University. He is worthy of being Boss Chai's disciple." Mr. Fang sarcastically said.

Sure enough, Boss Chai's face looked a little ugly, and Luo Hao was even more embarrassed.

But what can Luo Hao say? I just slandered in my heart - the bad old man is very bad.

"Go and take a look at the operating room of your hospital, and then take a look at all the critical care units." Mr. Fang suggested.

Dean Zhuang has obtained information from various channels in recent days. Fang Lao came here not just for Luo Hao, but also to take a look at the current medical situation in Beijiang Province and get to know the situation.

For what purpose, a dean at the level of Dean Zhuang did not know.

Arriving at the dressing room of the operating room of the university, Mr. Fang looked at the no-smoking sign and asked, "Dr. Luo, do you often sit down here and smoke?"

"Mr. Fang, I rarely smoke." Luo Hao took out his cigarette and showed it to Mr. Fang, "I usually hold it in my mouth to think about things, and then put the cigarette back when I'm done thinking."

"That's right!" Mr. Fang glanced at Boss Chai, "Learn something good, don't always follow them. Such a big brand, it's like you can't see it. Astigmatism, presbyopia, these are all problems that need to be treated. ”

"I'm used to smoking. If I don't have one, I won't be able to do the surgery."

"It sounds like you can still have surgery. The last surgery you had was probably done when you were 72 years old. Lao Chai, this guy has to live with his age." Mr. Fang said with a smile.

Mr. Chai sighed, his originally triumphant expression looked a little lonely.

Beauties grow old, heroes die, and life is mostly like this.

Mr. Fang majored in pharmacology, and he was the type who became more valuable as he got older.

Luo Hao knows the thoughts of the elderly. They may be generous, kind and kind to the younger generation, but their attitude towards the "old immortals" of their generation will be much different.

Fighting and scolding each other seemed to retain the shadow of their youth.

but!

Luo Hao couldn't bear to hear anyone say that his boss was old, not even Mr. Fang. He turned around and looked at Mr. Fang.

"Boss, you are getting stronger with time." Luo Hao said to Mr. Fang calmly but seriously.

It seemed to be telling a fact, and like a little beast baring its teeth at the king of the tribe, issuing a challenge.

Mr. Chai raised his eyebrows and raised his hand to reach Luo Hao's shoulders.

Luo Hao knelt down, bowed, and with a smile on his face, handed his shoulders to his boss.

"Old, that is, old." Mr. Chai said, "Being old makes you stronger. I haven't dared to perform surgery since 72. When my hands are itchy, I just work as an assistant for Xiaoqian to enjoy myself."

"His level is much better than when I was young. I think back then it took me 3 or 4 hours to perform a combined pancreaticoduodenectomy. I had to worry about various complications after the operation and was sent to the ICU...Now I can buy Dafen for a small amount of money. Qi robot, two points for one, after surgery... tsk tsk.”

Boss Chai spoke with a smile, unknowingly suppressing the little spark of Luo Hao's "offense" just now.

Mr. Fang looked at the old and the young with a smile.

very nice.

"Two old men, our first-year medical operating room has a total operating room..." Dean Zhuang began to introduce, everything was detailed, and he was quite well prepared.

Mr. Chai nodded slightly as he listened and walked in the corridor of the operating room.

"This is the emergency room, and it's an appendectomy."

"This is the emergency room, we're doing a caesarean section."

"This is the emergency room, where we are doing acute cholecystitis." "This is the underworld of chronic diagnosis, where we are doing..."

"This is the chronic diagnosis Yangjian, doing..."

The director of the anesthesiology department introduced Mr. Fang and Mr. Chai in each operating room.

Chai Lao looked at it with a smile, and Luo Hao followed the boss quietly.

He did not continue to provoke Mr. Fang. Although Luo Hao felt uncomfortable hearing those words and replied, Boss Chai suppressed the matter and pretended that it had not happened.

Luo Hao was not afraid of Mr. Fang taking revenge on him.

If you are afraid of academic struggle, you might as well stay in the first hospital of a medical university and become a department director or dean.

Academic struggle is not about treating guests to dinner, it involves bloodshed!
Luo Hao knew it very well and had witnessed several bloody academic struggles with his own eyes.

After more than twenty techniques were introduced one by one, everyone had already reached the end of the corridor.

Mr. Chai saw that the visiting nurses were sticking close to the wall when they came out to get things, so he smiled and said, "Let's go back, don't delay others' work here."

Mr. Fang also nodded.

The doctors and nurses in the First Hospital of the Medical University are well-trained and orderly. They are indeed worthy of being a large tertiary hospital ranked among the top ten in the country in terms of surgical volume.

"Xiao Luo, let's go check out your circulating CCU." Mr. Chai said.

"Okay!"

More than 20 people were crowded in the corridor of the operating room. Chai Lao knew that he and Lao Fang had caused trouble for others.

It's not a serious inspection, just take a look. I know that the working environment of Xiaoluohao is reliable, and I feel reassured.

"Didi dididi~~~"

The monitor alarm sounded.

"Wow~~~"

The door of the operating room opened, and the circulating nurse went out to announce the good news. There was a nurse holding a big fat boy inside.

Mr. Chai looked over following the sound of crying.

Luo Hao's eyes also turned to follow the boss.

next second!
The diagnostic assistant AI starts to spin crazily, giving a diagnosis at the click of a finger.

Luo Hao noticed that the background board turned white, pale and pale, with red blood dripping from time to time, like a poster for a ghost movie.

This is……

At the same time, the location of the system task kept flashing, and it looked like it should be an emergency task.

Is it a newborn?
Just as Luo Hao's thoughts turned around, Mr. Chai suddenly straightened up, as if he had become twenty years younger in an instant, and walked into the surgery room with flying strides.

When he passed by the surgeon, he glanced along the surgeon's shoulder, and then came to the patient's head.

"What's your name?"

"I..." The patient's voice was a little soft and he barely opened his eyes.

Chai Lao glanced at the monitor and then raised the patient's eyelids.

moment.

Chai Lao's aura changed!
"Amniotic fluid embolism!"

Before Mr. Chai finished speaking, the words "Emergency Mission" appeared on the system panel in the upper right corner of Luo Hao's field of vision, and the diagnostic assistant AI also gave a diagnosis - amniotic fluid embolism.

Luo Hao's heart felt cold and his heels felt cold.

Mr. Chai had already arrived at the left chest area of ​​the patient and started walking in the standard external chest heart compression posture.

Others haven't reacted yet.

Not to mention the human being, even the ECG monitor had just responded. The patient's heart rate rose rapidly from 120 beats/min to 160 beats/min.

The ECG oscilloscope began to tremble, and the blood oxygen saturation dropped from 99% to 67%.

Just as Chai Lao's hand was about to fall, the electrocardiogram had changed again from brief ventricular fibrillation to a straight line.

The straight line had just gone 1/4 of the screen when Chai Lao's chest heart compressions had already started.

"Epinephrine 1 mg intravenously." Mr. Chai's doctor's orders came out immediately.

There was only the alarm sound of the monitor in the operating room, and no one except Luo Hao realized what was happening.

"Crack~~~"

Luo Hao immediately cut it open with one hand, drew 1mg of epinephrine from a syringe in his right hand and pushed it in along the three-way.

"Professor Luo, you..."

"Amniotic fluid embolism! It's not a machine failure, hurry up and rescue!" Luo Hao said.

He immediately handed the syringe to the anesthesiologist, "Boss, I'll do it."

"Go and cut the uterus!" Mr. Chai said seriously.

The voice was not loud, but the voice was cold and sharp, as sharp as a knife.

Chai Lao's standard for chest cardiac compression was followed, and it took a few seconds for everyone to realize that something was wrong.

There was a large amount of bleeding in the patient's abdominal cavity.

The operation was very clean, it was just a caesarean section, there was no reason why it was not clean. But the sight of a pool of blood instantly frightened the surgeon, wondering what had happened.

It’s really amniotic fluid embolism!
The practitioner's mind went blank.

For obstetrics and gynecology, amniotic fluid embolism has special significance.

Luo Hao saw that his boss' chest cardiac compression temporarily stabilized the patient's circulation, poured a handful of red soup on his hands, wiped his hands randomly with iodophor gauze, and then put on clothes and gloves.

After tying up the sterile suit, Luo Hao pushed his shoulder and pushed the surgeon aside.

The patient's body was moving violently, firstly due to Chai Lao's chest cardiac compressions, and secondly due to the dying twitching of the muscles themselves.

Just continuous epidural anesthesia, no muscle relaxants.

"Intubation, general anesthesia!" Luo Hao shouted.

Director Xu of the anesthesia department saw the blood oozing in the abdominal cavity, and the blood oxygen saturation could no longer be measured. He just changed the fingers of the blood oxygen saturation clamp, but it still couldn't be measured, and he already believed Mr. Chai's diagnosis.

Damn it, amniotic fluid embolism!

Director Xu began to instruct the anesthetist to intubate and change the continuous epidural anesthesia to general anesthesia.

"New triple push once."

"Shout two and push once."

"Epinephrine, 2mg, give it intravenously right away!"

Mr. Chai was performing chest heart compressions while giving medical instructions.

"Mr. Chai... is this?" Dean Zhuang came over tremblingly, "Is it a machine failure?"

"Get out of the way! Rescue is here!"

Mr. Chai's violent temper was aroused and he shouted in a deep voice.

Luo Hao ignored the surprise and astonishment of Dean Zhuang and others. Boss Chai was experienced and seasoned, and the diagnosis of amniotic fluid embolism was made a little earlier than the system diagnosis.

With the boss's diagnosis and systematic diagnosis, I also saw a large amount of non-coagulated blood pouring out along the surgical incision. It was not amniotic fluid embolism or something!
Luo Hao picked up the curved scissors, cut the uterine bladder peritoneal reflection, reached the round ligament on both sides, and suddenly pushed it down to the cervix.

Immediately, a hole was made in the avascular position of the left broad ligament, and three hemostatic forceps clamped the isthmus of the fallopian tube, the proper ligament of the fallopian tube, and the round ligament in sequence.

Although Boss Chai's chest compressions seriously affected the operation, Luo Hao followed his boss's movements and completed the operation without seeming to notice it.

Line 10 was tied alone, and Luo Hao had no time to suture it, so he performed the same operation on the opposite side.

Then Luo Hao inserted his left hand, held up the uterus, and began to ligate and suture the blood vessels.

The equipment nurse was stunned, and she also realized that something was wrong.

Not only was the ECG monitoring alarming, but there was more and more non-coagulated blood in the abdominal cavity. Isuke subconsciously used an aspirator to suck blood, but he couldn't suck it all out.

Just like the scene in Kubrick's The Shining, the equipment nurse subconsciously felt that the invisible door would disappear at some point and blood would pour out.

She handed the instruments to Luo Hao almost subconsciously, but did not delay the operation.

At 3′12″, the uterus was removed and thrown on the instrument table.

Luo Hao carefully checked and sutured where the sutures should be, and then said to the surgeon, "Go and tell the patient's family that the uterus must be removed!"

The magician cried.

Brother, you cut it first! Why don't I even tell the patient's family about this?

"Pure oxygen, give me fucking pure oxygen!!" Only then did Director Xu react and began to yell.

The obstetrics resident's mind is still blank.

"Meng Liangren!"

"Professor Luo, I'm here."

"Go and tell the patient's family that the amniotic fluid embolism requires a uterine resection. You can tell them."

"Yes, I'll go right away." Meng Liangren kicked open the airtight door of the operating room and walked out.

Mr. Fang, the leaders of the provincial and municipal health commissions, and the deans of the First Hospital of the Medical University were all dumbfounded.

"I'll go." Feng Zixuan stopped Meng Liangren and said with a sad face.

"Director Feng, notify the ICU and the patient will go down immediately. Prepare blood, at least 5 ml!! Today!!! I don't know how much will be needed tomorrow, but prepare at least ml of blood."

"You, close your abdomen!" Luo Hao handed the instrument to the obstetrics resident, took off his gloves and came to Mr. Chai's side.

Although he only had less than 5 minutes, Mr. Chai was already so tired that his armor was soaked with sweat.

"Boss, I'll come." Luo Hao said respectfully despite his busy schedule.

Mr. Chai nodded, turned around and stepped off the stage.

"Roar~~~" Chai Lao's breathing has started to blow up the wind box.

The strenuous exercise caused tracheal spasm, and the sound of breathing changed. I am old, I am indeed old. Boss Chai sighed inwardly.

But no one noticed this. Everyone's attention was on the ventilator and monitor's physical signs.

After the chest compressions were completed, the hysterectomy was completed, and the endotracheal intubation was completed, the patient's condition gradually became clear - amniotic fluid embolism!
"Adrenaline 1mg intravenously, Director Feng...Zhuang, you go to the leader of the central blood bank and ask for a large amount of blood, as much as the blood bank has." Luo Hao said coldly while doing chest heart compression.

Luo Hao lost his usual gentleness, and his whole body exuded a cold and stern aura.

Dean Zhuang was startled, but realized it was amniotic fluid embolism. He immediately took out his cell phone, kicked open the air-tight door of the operating room and walked out.

"I am Zhuang Yongqiang from the Medical University! There is a patient with amniotic fluid embolism who needs 3 blood."

"No? What the hell do you do for food! I don't care, it must be there!"

Dean Zhuang was anxious.

Maternal, amniotic fluid embolism.

Others don't know what these two words mean, but Dean Zhuang understands.

The rescue was over for now, but only temporarily.

(End of this chapter)