White armor

Chapter 188 Let’s contact Mr. Yin Yang first
half an hour ago.

"Cousin, what should I do?"

Jiang Wenming was also a little panicked. He suppressed his irritation when his relatives asked him, "Go to the pharmacy opposite the hospital to buy an abdominal belt."

"cummerbund?"

"Go quickly, there is so much nonsense. Then call 120 and hurry up and go to the hospital."

Jiang Wenming scratched his head.

The patient was a distant relative of his. Some time ago, a physical examination revealed that he had pancreatic head cancer. The family panicked and found Jiang Wenming.

At that time, Jiang Wenming suggested asking experts from Shanghai to perform the surgery, and the experts he could contact were experts from Shanghai.

As for Luo Hao and Chen Yong, Jiang Wenming didn't want to trouble them if nothing happened.

The facts were similar to what Jiang Wenming had expected. Experts from Shanghai City flew in. The operation started at 8:10 in the morning and ended around :.

It’s really weird. Nearly 3 weeks after the operation, he suddenly started bleeding heavily.

Jiang Wenming puts an abdominal belt on the patient.

But his steps were not slow, and he had already arrived at the door of the emergency ward as he spoke.

"The abdominal belt is pressurizing, and the bleeding blood vessels are temporarily blocked. The blood pressure is temporarily stable and can last for about 24 hours, but it will definitely not last longer." Wang Guohua said firmly, "Director Lin, what should we do next?"

Jiang Wenming took half a step back and hid behind the patient's family.

If he had to find a reason, Jiang Wenming could explain it - after all, the pancreas was cut, and a small amount of pancreatic juice leaked out, corroding the pancreaticoduodenal artery.

Unexpectedly, nearly 10 days after being discharged from the hospital, he suddenly went into hemorrhagic shock!
Jiang Wenming didn't know what the problem was, so he could only rely on his own clinical experience to judge it.

But even if the patient's family members follow him, they may not understand anything and will only add to the confusion.

"Director Lin, let's do it the other way around." Wang Guohua continued.

But eventually something happened.

Jiang Wenming said nothing, twirling his phone in his hand and thinking of many solutions.

This is something I have to say behind the back of the patient's family.

Seeing that the patient was in good condition and could hold on for the time being, Wang Guohua turned back to look at Lin Yuming.

Maybe go to the provincial capital.

Wang Guohua’s attitude is very clear.

"Is this thing useful?" asked the relative.

In the past, the most difficult operation in general surgery - combined pancreaticoduodenectomy - has become countless times simpler in the hands of experts, as if it was just a simple cholecystectomy.

When asked about the situation, Wang Guohua stopped talking nonsense and looked at the ECG monitoring attentively.

Jiang Wenming thought for a while, and finally followed Wang Guohua out.

Although looking at the operation records, the experts from Shanghai Magic City did a lot of work on the pancreaticoduodenal artery, including suturing, titanium clips, etc. to ensure safety.

"Director Guohua, I'm from the Medical Department. I need to ask you about the specific situation." Lin Yuming replied calmly.

After the operation, Jiang Wenming's distant relative recovered well and was discharged from the hospital 5 days later. He endured it until 7 days later and was discharged from the hospital.

Wang Guohua's words are as tight as his words, and he presses forward step by step.

Although the relationship is between master and apprentice, Jiang Wenming is very satisfied that his children can spread their wings and fly high. Solve the things that can be solved by yourself, and if you really can’t, talk about it.

Jiang Wenming hesitated and hesitated, but still didn't call Chen Yong.

"Yeah." Jiang Wenming nodded.

"You want me to wipe the butt of the experts from the higher-level hospital?" Wang Guohua's voice came from the corridor, making a loud sound, as if the walls were shaking.

Jiang Wenming sighed. Fortunately, Wang Guohua was hired back. If Wen Youren was still employed... Wen Youren really couldn't handle this kind of surgery.

"Damn it!" Wang Guohua cursed in a low voice and turned to leave.

Lin Yuming glanced at Wang Guohua's back and followed him out of the emergency room.

"Xiao Jiang, did you pierce it?"

After he was discharged from the hospital, Jiang Wenming forgot about this incident, and all that was left was regular review.

"Shouldn't it be that I have to call a specialist from a higher-level hospital if I can't come to Taiwan for surgery?"

Soon, I bought the abdominal belt.

Because of the abdominal belt compression, the patient's blood pressure was temporarily stabilized.

"B-ultrasound reported abdominal effusion, with a maximum depth of 11.2cm." Wang Guohua muttered in a low voice, and then his eyes fell on the abdominal belt.

Open the abdomen and stop bleeding.

The 120 ambulance arrived and the patient was sent to the mine headquarters.

But he found that the only way left was to disembowel his stomach.

Not to mention that the housing prices in the Imperial and Magic Capitals are expensive, and not counting other factors, medical care alone has extremely high added value.

Soon, Wang Guohua and Lin Yuming walked in together.

Came to a secluded place.

Wang Guohua raised his head slightly and glanced at Lin Yuming from the corner of his eye.

"Director Lin, things are difficult to handle."

"Director Guohua, let's do the surgery." Lin Yuming said helplessly, "No matter what the conflict is, let's solve the patient's problem first."

"You think I fucking don't want to!" Wang Guohua scolded angrily, "Xiao Jiang is good, put an abdominal belt on the patient. Xiao Jiang, what's the blood pressure before the abdominal belt?"

"75/34 millimeters of mercury, the patient's family measured it at home. The sphygmomanometer is certified by our school, so there is no big problem." Jiang Wenming answered truthfully.

"It is now 122/76 mmHg. The reason why the blood pressure seems to be okay is because the patient had a stomach full of blood. After applying pressure with an abdominal belt, the intra-abdominal pressure increased and the broken end of the pancreaticoduodenal artery was temporarily blocked. ”

"Then... can you grow it yourself?" Lin Yuming's eyes lit up.

If you can solve the problem with a belly band, good luck.

"I've been told it's impossible, stop dreaming." Wang Guohua said categorically, "The current situation is - after the operation, the abdominal cavity is opened after going on stage, the blood pressure disappears all of a sudden, and the operation time left for me is only about 30 seconds. "

"Director Lin, Xiao Jiang, in 30 seconds, the patient's stomach is full of blood, there is no surgical field, and the possibility of finding the stump of the pancreaticoduodenal artery is too low."

"If we don't do it, the patient may be able to survive for a few days, but in the end it won't work."

"Whether you do it or not, it's all a matter of course." Wang Guohua looked at Lin Yuming with disdain, "Director Lin, is this what you call the top level in the country?!"

Wang Guohua's words were full of sarcasm.

Lin Yuming sighed and took out his mobile phone.

"Who are you going to call? An expert from Shanghai? The operation is a one-time operation, and why can you fly here to deal with all this nonsense? Why didn't I suggest calling an expert at that time? Well, let's see clearly now."

"Let me ask about the little snail number." Lin Yuming sighed. He knew very well what Wang Guohua was talking about.

In fact, it has nothing to do with the magic city experts.

I still remember that many years ago, Wang Guohua successfully performed the 4th or 5th case of combined pancreaticoduodenectomy. The patient was fine on the day of discharge.

When going through the settlement procedures, if the patient feels that nothing is wrong, he can go to the window to settle the bill himself.

One second he looked like a normal person, and the next second the patient fell to the ground, took a few blows, and passed out.

The time left for doctors and nurses to treat the patient was extremely short, and the patient died in the end.

That was an operation performed by Wang Guohua himself, and it was performed at a peak age of less than 50 years old. This kind of problem would also occur.

Lin Yuming didn't know what to do now.

Based on his understanding of Wang Guohua, Lin Yuming knew in his heart that what Wang Guohua said should be true.

After laparotomy, the patient's blood pressure returns to zero very quickly, and the rescue time is very short.

It is almost impossible to find the stump of the pancreaticoduodenal artery in a pool of blood in a very short time.

"Luo Hao? It's possible for him." Wang Guohua gave a pertinent answer, "I saw that he used the gastroscopic titanium clip very quickly, almost clamping the gastric vein against the blood and without a field of view. "

"But the gastric vein and the stump of the pancreaticoduodenal artery are still different. Let's ask." Wang Guohua sighed, "If Ronaldinho has nothing to do and wants to give it a try... Director Lin, I'll give it to my friend." Make a phone call and ask him to come back and set up the channel for me. This is the best combination for our mine manager."

Lin Yuming nodded.

Luo Hao didn't know if he had time. If he couldn't, he would just let Wen Youren come back.

In everything, just try your best.

As for Wen Youren, who grows potatoes in Siberia...

Lin Yuming shook his head and dialed Luo Hao's phone number.

"Xiao Luohao, are you busy?" Lin Yuming asked.

"Uncle, I'm eating. If you need anything, tell me."

"There is such a patient."

Lin Yuming described the patient's causes and consequences in the most concise language.

More than a minute later, Lin Yuming finished speaking.

"Oh, that's it. It's a small problem. I'll go back right away." Luo Hao said, "We should seize the time to prepare for the operation."

"How much blood should I prepare? Is 2000 enough?" Lin Yuming's eyes lit up.

"It only costs 200 or 400. It won't produce much blood." Luo Hao said with a smile.

"!!!" Wang Guohua was stunned.

He suddenly grabbed Lin Yuming's cell phone and said, "Luo Hao, this is Wang Guohua."

"Hello, Director Guohua."

"Don't you want Wen Youren to come back and insist on showing off your strength?!" Wang Guohua asked.

"Ah? What does it have to do with Director Wen? Director Wen is sent by the hospital to support impoverished counties and provide targeted poverty alleviation. Didn't we just talk about postoperative bleeding?"

Luo Hao was a little surprised.

Wang Guohua's heart sank into his pelvis. Every time he beat, he would hit his bladder, and he felt the urge to urinate.

He was sure that Luo Hao was trying his luck when he came back, but Luo Hao didn't want Wen Youren to come back even if he tried his luck.

This person is so small-minded!
even!

He is playing with the patient's life.

"Luo Hao, how confident are you!" Wang Guohua asked sharply.

"I haven't seen the situation, and I don't know, but if we talk nonsense behind closed doors, I'm probably 2% sure. Well, just prepare u red blood cells, if the patient's condition is not urgent."

"..." Wang Guohua was completely speechless.

"Eat quickly!" Luo Hao was already urging, "There is an emergency patient over there. We have to go back to rescue him."

"What patient?"

Chen Yong's weak but familiar voice came, and Jiang Wenming's nose felt sore.

"Eat quickly, let's talk on the way. Dani..." Luo Hao's voice gradually became softer, and he probably covered his phone.

Lin Yuming had a smile on his face.

"Xiao Luohao, hurry up." Lin Yuming took the phone back from Wang Guohua and asked kindly. "Okay, uncle, keep your blood pressure under control at home. I'll solve the problem in half an hour when I get back." Luo Hao comforted, "Don't worry, these are common complications after combined pancreaticoduodenectomy." We don’t know how to deal with the disease, but we don’t do much surgery.”

Wang Guohua felt Luo Hao slap him in the face with his mouth from a distance, and with a snap, five finger prints were clearly visible.

"Okay, come back soon."

With that said, Lin Yuming hung up the phone.

He glanced at Wang Guohua and then at Jiang Wenming.

"Xiao Jiang, do you know the patient?" Lin Yuming asked.

"I know him, a distant relative." Jiang Wenming replied, "I'm going to explain to the patient's family that the patient must be dead, but we are looking for top experts in the country, who will accept their fate whether they live or die. What else does Director Lin have? Any other explanation?"

Lin Yuming nodded. The old chief was very considerate and knew exactly what he meant.

No matter what Xiaoluohao says, it will never work. We must be prepared that the patient cannot be saved.

"The hospital paid for the experts from Union Medical College to come to the emergency room and give it a try. If it didn't work, there was nothing anyone could do." Lin Yuming added.

"it is good."

"Director Lin, I have just said the pros and cons." Wang Guohua was a little angry, "I have never seen anyone who can save a similar patient 100%! Luo Hao, a brat, is bragging and you have to take it seriously!"

Lin Yuming narrowed his eyes and clasped his hands in front of him, as if holding a ceramic jar.

"Director Guohua, Professor Luo Haolo is an expert from Union Medical College, and now works in the First Hospital of the Medical University. There is nothing wrong with inviting experts from outside to help. Baby, who are you talking about?"

"I..." Wang Guohua was speechless for a moment.

Originally, as the boss of the mine, it was fine for him to diss a young doctor of Luo Hao's age who was a brat, but this was different from the past.

Luo Hao is already a professor at Xiehe University and now leads a team at the First Hospital of the Medical University.

Wang Guohua was in a daze.

Luo Hao has skyrocketed in just a few months.

"The surgery is impossible! I want to keep my eyes peeled and see if I can prepare 400 ml of blood. How can I do this terrible surgery?" Wang Guohua was not convinced.

"Director Wang, the patient is admitted to your ward." Lin Yuming's address to Wang Guohua also changed.

Wang Guohua sighed. Although he was unhappy, the patient still had to accept it.

Jiang Wenming went to explain to the patient's family, while Lin Yuming returned to his office while thinking about it.

He didn't call Luo Hao.

I don't know if there is a car on the other side. If Luo Hao drives and answers his phone, it will still be dangerous.

Lin Yuming thought about the rescue from beginning to end, then picked up his mobile phone and made a call.

"Stationmaster Zhao, I have an emergency patient here who needs rescue. How much blood type A rh+ do we have in stock?"

"As much as you want, we still have it. I just wanted to say hello to you in advance."

"Yes, yes, prepare at least 3000, 15u red blood cells. Prepare as much plasma, platelets, and cold agglutination as you need."

After brushing his face and getting ready, Lin Yuming rubbed his head again.

He couldn't sit still and came to the ward.

Jiang Wenming was explaining to the patient's family. Lin Yuming stood aside and listened for a while. The patient's family almost fainted.

When explaining the condition, the veteran doctor like Jiang Wenming was really cruel. He was 100% dead and had no chance of surviving.

Even when he was explaining to his relatives, Jiang Wenming didn't hold back at all, and instead spoke more harshly.

Jiang Wenming cracked his fingers and reasoned. The top domestic experts performed the surgery, and the top domestic experts performed rescue operations overnight. He explained to the patient, the family, and everyone.

As for death, no one is immortal.

The conditions are just this, and they have been reached to the extreme. It’s time to close your eyes even if you die.

Jiang Wenming's explanation was better than he imagined, and Lin Yuming nodded inwardly.

The patient's family members held their heads and cried, and Jiang Wenming forced him to sign.

They found Jiang Wenming who was hospitalized and contacted experts. At this time, Jiang Wenming did not hide from the incident, but took all the responsibilities.

After processing this side, Jiang Wenming seemed to be several years older, with dark circles under his eyes.

"Director Lin, I'm fine. Please wait for a moment and I'll contact Mr. Yin Yang." Jiang Wenming then took out his mobile phone and started to contact Mr. Yin Yang.

Lin Yuming felt a chill coming from his heels and going straight to the back of his head.

It seemed that not only Wang Guohua didn't believe in Luo Hao, but also Jiang Wenming, an old doctor who was close to Luo Hao, didn't believe that the patient could be recovered.

After Jiang Wenming finished contacting him, he pulled Jiang Wenming to the office.

"Xiao Jiang, is it really not possible?" Lin Yuming asked.

"I asked the expert, and he said that he had completed more than 5 cases of combined pancreaticoduodenectomy in the past five years. Three patients had problems and two died." Jiang Wenming sighed, "That's the magic city." The top comprehensive tertiary hospital, our mine can’t compare with it.”

"The mortality rate there is 66.7%, but the overall mortality rate in our mine cannot be 100%? To bring Ronaldinho back is to give an explanation to the family. I...I don't have any hope." Jiang Wenming said very straightforwardly. explained.

Lin Yuming knew Jiang Wenming.

Jiang Wenming is a veteran attending general surgery department and has the highest level of expertise in the department in surgeries up to major gastrectomy.

To use an Internet buzzword, you are invincible in the same situation, at least in the mine.

Moreover, Jiang Wenming was only half a step away from crossing the border, but he went to the clinic on the way. It was a pity.

All this was achieved as a result of Wen Youren's suppression.

Lin Yuming knew that although Jiang Wenming couldn't perform related surgeries, he still had basic eyesight.

His saying no is more credible than Wang Guohua saying no.

But Xiaoluohao said it very easily!
Lin Yuming fell into a fog and was extremely confused.

"Director Lin, I have seen some similar situations, not to say many. The probability of death is indeed very high." Jiang Wenming explained, "But don't worry, Ronaldinho can come back to help with the rescue, and the patient can close his eyes even if he is dead. ”

"..."

That's right.

"They are looking for me. If something happens, I will try my best to suppress it and not cause trouble to the hospital or Professor Luo." Jiang Wenming said with certainty.

"Do your best and let fate do your best. I also checked the information and found out that the experts from Shanghai are right. I also went to the operating room on the day of the operation to see the whole process. They did it well. If something goes wrong, it means your life is bad. There is no way. "

Jiang Wenming spread his hands and said helplessly.

Lin Yuming breathed a sigh of relief.

All the necessary preparations were made, but Jiang Wenming was even more ruthless, even looking for Mr. Yin Yang. He was afraid that the family would buy all the old clothes now and wait for the rescue to fail and put them on for burial.

As for Luo Hao...

Lin Yuming frowned, "Xiao Jiang, tell me the truth. Xiao Luohao said for sure that it's fine and can be taken down 100%. What do you think about this sentence?"

Jiang Wenming shook his head.

"Director Lin, I don't understand." Jiang Wenming said after a few seconds, "He was bleeding 3 weeks after the operation and his condition is critical. In this case, as long as he can be rescued by a second operation, his life will be good."

As he spoke, Jiang Wenming sighed deeply.

He doesn't understand either.

Lin Yuming didn't bother Luo Hao, but just left a message for Luo Hao, asking him to drive carefully.

……

"Luo Hao, can you stay for a day?" Chen Yong asked happily.

"It's the weekend tomorrow, let's stay here for a day." Luo Hao said, "I'll go home and see my mother."

Speaking, Luo Hao was a little angry.

"By the way, Luo Hao, why don't you see your mother calling you as usual?"

"My mother goes to play Baduanjin every morning, comes back to eat and go to work, and goes to square dance after dinner in the evening, and then makes videos, so she has no time to care about me! She is impatient every time I call, you say, where What a fuck!" Luo Hao complained.

Chen Yong laughed.

He rarely saw Luo Hao lose his temper or complain. This should be one of the few cases.

"Does your mother trust you? Aren't you worried about your son traveling thousands of miles away?"

"Maybe it's because I got into too much trouble when I was a kid, and my mother thought I was always the troublemaker wherever I went." Luo Hao said helplessly.

"Luo Hao, what troubles did you get into when you were a child?" Wang Jiani asked curiously.

Luo Hao began to tell some things about his childhood, especially things like monopolizing homework, which made Chen Yong and Wang Jiani look at him with suspicion.

"You were so greedy for money when you were a child, why are you not greedy now?"

"I have enough money to spend, and I have bigger goals. This little money is nothing, so forget it." Luo Hao smiled, "My annual scientific research funding should soon be in the tens of millions. Clinically The little money is really nothing.”

While talking and laughing, they drove back to Donglian City.

With the windmill switched on on the highway, Luo Hao kept the speed at 120 mph and returned to Donglian City in one and a half hours.

After leaving the toll station, Luo Hao rolled down the window.

"Luo Hao, your broken car is actually quite good, isn't it?"

"It should be pretty good."

"Why don't you change the electric windows instead of hand-cranking them?" Chen Yong asked

"The bosses like the retro style," Luo Hao said. "The earliest Santana cars in China had hand-cranked windows. Although the bosses couldn't sit on them, they were very envious of them. So I have an obsession with hand-cranked windows in my mind. I left it on purpose.”

"You're so flattering, you're so flattering!" Chen Yong exclaimed.

Luo Hao ignored him and took out his mobile phone to call Lin Yuming.

"Uncle, I got off the highway, the patient..."

As he was talking, there was a cry of pain from the other side of the phone.

Luo Hao felt a chill in his heart, "Uncle, the patient is dead?!"

"Not dead, high pressure 115."

"???" Luo Hao was confused, "Uncle, who is crying?"

"Patient's family."

"..."

This was well said, but the preface did not match the follower. Luo Hao was even more confused after the explanation.

But it’s better to see it with your own eyes. Now I can’t explain it on the phone.

After asking about the patient's condition, Luo Hao found out that the patient was clear and clear, his blood pressure was maintained fairly well, his blood had been transfused, and everything was in order.

Hang up the phone and drive to the mine manager.

Going upstairs, several family members of the patients sat on the ground at the door of the ward and cried loudly. Next to them was a gentleman wearing Chinese clothes, holding a prepared flag in his hand.

"After a while, the people are gone. The immediate family members go in first, and the children wipe the old man's body. By the way, prepare some cotton. If not, ask the doctor for cotton balls, and plug the throat and anus. You have to get dressed early, otherwise you will be hard. If it’s gone, I can’t even put my clothes on.”

"Think about it, you don't even have any clothes when you go down. Big and small ghosts are not allowed to bully people to death. Buddha relies on gold clothing, and people must rely on clothing after death. Put some on, put some money in your pocket, take care of yourself, don't "Be wronged."

"..." Luo Hao was speechless.

(End of this chapter)