White armor

Chapter 191 It’s okay if there is no diagnostic assistant AI
"Hello, Professor Lei."

Luo Hao ignored the strangeness in Professor Lei's words, nodded honestly, and greeted him kindly.

Manager Ma Liu Feifei frowned and glanced at Professor Lei.

"Professor Luo, come together." Professor Lei continued to greet him with a smile.

"It's a shame. The patient's family knows very few people. They only know me, a marginalized person. It's so troublesome. I just came to stand for a while and give an explanation to my friend." Luo Hao explained with squinted eyes.

Professor Lei was a little at a loss.

This temper is too good!

He was originally watching his relative's surgery. The bypass was successfully completed and was being flushed. If there was no bleeding, the chest would be closed.

While observing the stage, I heard that the patient’s family did not see a gastrointestinal surgeon, but called Luo Hao. Professor Lei was very unhappy.

So Professor Lei was ready for Luo Hao to take the stage, and he wanted to give Luo Hao a vicious blow.

Manager Ma Liu Feifei didn't want to be busy, she just wanted to squat and watch Luo Hao fight Professor Lei, and watch Luo Hao press Professor Lei to the ground and rub him.

The numbers on the ventilator and monitor are stable and normal.

Mission content: Some rescues only take a moment. What makes rescue more difficult is not only the disease, but also the people.

Task time: 10 minutes.

Pity.

It's okay, it's not my business.

Fighting without defeat is the essence, and Professor Lei feels that he has fully mastered these four words.

This time it was good, he didn't even get angry. Professor Lei felt tight in his chest, so he could only wash his hands and go on stage.

A death countdown appeared again in the upper right corner of Luo Hao's vision.

Liu Feifei wanted to say something else, but she felt bored and yawned. She sat in front of the ventilator and started to take a nap while looking at the dull and steady vital signs.

The surgery room next door!

But Luo Hao... swallowing a glass of water was really boring. There was no excitement and it was boring to watch.

Otherwise, if you go too far, you won’t be able to see each other again.

Manager Ma Liu Feifei was startled for a moment and subconsciously glanced at the ECG monitor and ventilator in front of her.

Unexpectedly, Luo Haogou was standing in the corner. He mocked him slightly. Luo Hao was not angry at all, and even answered and explained humbly.

It was just a minor surgery like appendectomy, and with Luo Hao standing behind and watching, Professor Lei concentrated on it and performed at 120%, making the operation almost perfect.

Mr. Ma Liu Feifei yawned greatly.

The mission name makes it very clear - the opportunity is fleeting.

"It would be great to find Director Chen!" Manager Ma Liu Feifei said.

It's just an appendectomy. It can be done in a few minutes without delaying your own business.

[Emergency mission: a fleeting opportunity.

Professor Lei turned around, kicked open the airtight door of the operating room, and walked out.

Professor Lei quickly washed his hands and came back, got dressed and went on stage.

It's better to be calm, no one wants to encounter an adrenaline rush rescue.

Luo Hao doesn't look like a martial artist at all, nor does his temper.

Watching Professor Lei go to clean his hands, Manager Ma Liu Feifei raised her eyes and looked at Luo Hao, "Professor Luo, you must have such a good temper."

"It's bad. I can't say I have a good temper. Nothing happened. My friends and relatives asked me to take a look. Otherwise, I won't worry. There is nothing I can do." Luo Hao smiled.

For what Professor Lei just said, I wanted to slap him, but Professor Luo was able to hold back.

Professor Lei was stunned for half a second, but he recalled that when he came out, he had already completed the coronary artery bypass surgery and was checking whether there was active bleeding. It should have nothing to do with his relatives and it should be a wiring problem.

In this matter, Professor Lei felt that he had great righteousness.

The appendix was successfully removed and put in a bag.

"It's not necessary. Director Chen can't do anything with just an appendectomy."

After saying that, he tore off the sterile clothes on his body.

The moment the airtight door opened, a sharp alarm sounded.

Professor Luo doesn't look like a martial artist at all, he is even more of a scholar than a scholar.

He glanced at Luo Hao slowly, and was about to leave like an expert when he suddenly saw Luo Hao walking towards him with a frown on his face.

Mission reward: Active skills - tell me one thing. 】

Luo Hao didn't care what the mission reward was, but followed the voice and strode out of the operating room.

The surgery was done quickly.

If she were in her place, Liu Feifei felt that she would grab Professor Lei by the collar and ask him - who are you?

Professor Lei turned around and said, "Sew it up."

And the time limit for this task is also very short, 10 minutes!

Luo Hao knew what this meant.

Walking into the surgery room next door, Luo Hao suddenly discovered something extremely fucked up.

The diagnostic auxiliary AI does not rotate, there is a prompt on it, and the energy is used to generate active skills [One thing to say].

Luo Hao wanted to scold his mother.

What are you doing?

At this time, the faster the diagnosis, the higher the possibility of successful rescue. But in order to generate the active skill [One Says One], the system turned off the diagnostic assistance AI.

Is there anything more outrageous than this?
In the operating room.

The blood pressure on the ECG monitoring has dropped to 50/30 mm Hg, and the anesthesiologist is frantically pushing norepinephrine and epinephrine into the three-way tube.

But even so, the patient's blood pressure is only maintained at a level that can be displayed and does not return to zero.

The sharp alarm sound echoed in the operating room. Luo Hao felt like an invisible hand was pushing adrenaline to himself. Now the adrenaline and dopamine in his body were already overflowing.

calm down!

calm! !
Luo Hao warned himself in his heart.

There is no diagnostic auxiliary AI, but I am still a doctor of the Union Medical College and a professor of the Union Medical College!
Taking a deep breath, Luo Hao squinted his eyes to observe the messy scene.

The surgeon and assistant are closing the chest, and have begun to twist the wire and apply bone wax on the sternum.

The equipment nurse was originally counting with the circulating nurse, but now she looked at the monitor with a blank expression, not knowing what was going on.

The circulating nurse also looked at the anesthesiologist blankly, with a hint of fear in her eyes.

She is experienced enough to know that something is wrong. But just now the operation went smoothly, why did the monitor suddenly alarm during the chest closing process?

The circulating nurse was stunned for 3 seconds, then got under the sterile drape and started checking the lines.

Could it be acute anaphylactic shock caused by blood transfusion?
Luo Hao thought of several examples, but immediately eliminated this possibility.

impossible.

This is not the case with allergies caused by blood transfusions.

Differential diagnoses emerged in Luo Hao's mind one after another.

And the "countdown to death" suddenly appeared.

00:02:12:26!

Hey!
Didn’t I say ten minutes? !

Luo Hao's pupils shrank sharply on both sides.

00:02:10:04! !
The numbers on the death countdown are decreasing rapidly.

Luo Hao was helpless about the situation in front of him.

Luo Hao's calm heart began to waver, and impatience surged into his heart.

wrong!

Luo Hao immediately realized that something was wrong with him. He was in such a hurry that his thinking was affected.

00:02:01:11.

After wasting a few seconds, Luo Hao calmed down again and immediately started the [Flow] state.

This is the first time Luo Hao has started flow without surgery.

The movements of everyone in front of me became slow, almost like slow motion.

Luo Hao used the [flow] state to recount what happened and what he saw.

The coronary artery bypass surgery, splitting the sternum, went smoothly, so Professor Lei had time to come to the next door surgery room to play with himself and everyone to find fault.

According to Professor Lei, the bypass surgery had been completed when he went over, and he was checking for bleeding. If there was nothing wrong, the chest would be closed.

There was no extracorporeal circulation machine in sight, and the heart kept beating to avoid a series of complications caused by cardiac arrest and ice slush.

What is the problem that suddenly arises?
allergy?

Or did the iron wire pierce the heart, causing pericardial tamponade?
Several diagnoses came to Luo Hao's mind, but each diagnosis seemed to have problems, and Luo Hao was constantly identifying them.

But even if he turned on the [Flow] state, Luo Hao still didn't give a quick diagnosis.

Oh shit!

hateful!

Luo Hao was so angry that he wanted to punch the system with his fist. How could he drain the energy of the diagnostic assistant AI at this critical moment?
"Director, the patient's stomach is bulging!" Sansuke's voice suddenly appeared.

Ok?
abdomen? !
"Is the abdominal aortic dissection ruptured? Professor Lei, please get a physical examination quickly." the director of cardiothoracic surgery shouted.

Professor Lei had already panicked and hurriedly got under the sterile sheet to perform percussion.

"Drum sound or solid sound?"

"..."

The sterile drape was trembling. Professor Lei got in for at least 10 seconds before the sound of percussion came.

Weird, after hearing the sound, Luo Hao's brain CPU ran at high speed and almost burned out.

00:01:32:02.

Gan!
"Solid sound in the upper abdomen!" Professor Lei said loudly, "The aneurysm has ruptured!"

It is estimated that the patient should have an abdominal aortic aneurysm during preoperative examination, but it does not require special treatment.

Was it broken during the operation? !
It's possible, otherwise why are vital signs such as blood pressure plummeting?

but!

Just now, Luo Hao vaguely heard that Professor Lei's percussion sound was not right.

They were probably all panicked, and Luo Hao didn't dare to waste any more time. The patient's condition was extremely bad, and something big would happen if he delayed even a little bit.

Thinking of lightning in his mind, Luo Hao raised his hand, grabbed Professor Lei's clothes, pulled him out forcefully, and threw him aside.

Then Luo Hao got into the sterile drape and performed percussion.

It's not a solid sound, but it's also not a simple abdominal percussion sound.

It is a solid sound in the upper abdomen caused by the downward movement of the diaphragm.

Diaphragm moves downward?

Luo Hao was stunned for 2 seconds in the sterile drape.

"Drum sound! The diaphragm moves down!!" Luo Hao shouted loudly.

After getting out of the sterile drape, Luo Hao's eyes fell on the ventilator.

The blood oxygen level is reduced and can only be maintained at about 70%. Countless lights flash and alarms appear throughout the interface.

"The blood pressure can't be maintained!" the anesthesiologist roared hoarsely.

and many more!

In the [Flow] state, Luo Hao suddenly thought of a case - the death discussion record in the Xiehe Medical Records.

Airway pressure!

The patient's airway pressure is increased! !
Diaphragm downward movement + abdominal distension + high airway pressure + sudden cliff-like drop in vital signs, all of which pointed directly at one diagnosis - tension pneumothorax!
Luo Hao's eyes finally landed on the spot where the wire had been screwed on and tightly sealed with bone wax.

Got it!

"Open the chest!"

Luo Hao roared in a deep voice.

"???"

"???"

Luo Hao knew that they didn't want to believe it, or they were confused and didn't know what to do.

And the countdown continues.

00:01:16:22! !
The cardiothoracic surgeon had already started suturing the skin, and it was impossible to open the fixed sternum for more than a minute. It takes several minutes just to sterilize the vise.

Luo Hao was focused on nothing else and figured everything out in an instant. He turned around and took a 50ml syringe, and put it on the instrument table.

"puncture!"

"What kind of piercing?" Sansuke asked subconsciously.

"You are a fucking cardiothoracic doctor. Do the second intercostal puncture and release the air from the tension pneumothorax first!"

Luo Hao cursed.

"Can……"

"Are you a thoracic surgeon? If it causes pneumothorax, wouldn't you know how to perform a closed drainage?"

Everyone was stunned, including the surgeon and assistant.

The shrill screams of ventilators, monitors, and various frightening vital signs short-circuited everyone's brains.

Luo Hao had no choice but to quickly tear off the sterile gloves, put them on and picked up the needle.

"What are you doing!" Professor Lei just barely stood up after being thrown to the ground by Luo Hao. When he saw Luo Hao putting on sterile gloves to go on stage, he subconsciously shouted harshly.

This is not in compliance with sterile operating practices!

Aseptic operating procedures have already penetrated into the hearts of every doctor, Professor Lei subconsciously asked loudly.

"Get out!!" Luo Hao raised his foot and kicked Professor Lei's leg, which was blocking the way. He staggered and hit his head on the air-tight door with a "bang" sound.

Luo Hao then bumped into the director of cardiothoracic surgery with his shoulder.

The sterile environment was completely destroyed.

Luo Hao broke into the thunder pool like a crazy bison.

"You..." Director Fang was also dumbfounded. Is Luo Hao crazy?
Director Fang was about to question, but before he could speak, a violent "hissing" sound came from the 50ml needle the next second.

At the same time, the death countdown in the upper right corner of Luo Hao's vision began to count again.

00:09:26:27!

Call...

The diagnosis was correct, and Luo Hao let out a sigh of relief.

At 9 and a half minutes, there was suddenly plenty of time.

"Tension pneumothorax, open the chest!"

Although time became "plentiful", Luo Hao still urged harshly.

His voice was like a whip, crackling on the backs of everyone present.

Director Fang of the Department of Cardiothoracic Surgery carefully distinguished the sound made by the needle of the 50ml syringe.

The hissing of gas means the pressure in the chest is extremely high.

At the same time, the patient's vital signs recovered.

Tension pneumothorax, the diagnosis is correct!

"Open the chest!" Director Fang said in a deep voice before he had time to think of anything else, and then began percussion.

There was a drum sound in the left and right chests. It was not a unilateral tension pneumothorax, but bilateral!

Another 50ml syringe needle was inserted into the second intercostal space on the other side near the midline.

Likewise, there is a "hissing" sound at the needle.

00:13:22:54!

The death countdown has been extended again.

Seeing that the diagnosis was clear and the rest could be done slowly, Luo Hao came out of the [flow] state.

A wave of fatigue came over me.

Although the negative effects of [Flow] have been weakened, Luo Hao still felt sore after using it, and he barely managed to walk to the stool in the corner of the operating room and sit down.

With his back against the wall, Luo Hao squinted at Director Fang and his assistants at work.

They opened the sternum, which had been wrapped and fixed with wire.

The moment the sternum opened, all sounds turned into nothingness and disappeared to the other side of the sky.

Blood pressure, heart rate, blood samples, airway pressure and other values ​​instantly returned to normal values, and the alarm sounded as if it had never appeared.

The ticking sound sounded peacefully, just like an ordinary operation.

diagnosis,

Correct!

Director Fang said nothing. Everything proved that Luo Hao was right, and he began to look for the location of the breach.

"Ding dong~"

There was a crisp sound.

[Emergency mission: The fleeting opportunity has been completed.

Mission content: Some rescues only take a moment. What makes rescue more difficult is not only the disease, but also the people.

Task time: 10 minutes.

Mission reward: Active skill has one saying and one × 1. 】

What the hell is it?

Luo Hao was extremely tired, but he couldn't expose his weakness for the time being.

He leaned his back against the wall of the operating room and began to think about it.

[One thing to say - everyone has the idea of ​​​​finding out each other's secrets. Maybe this little thing has a surprising effect on you. 】

This is wool!

Luo Hao was stunned for a moment, it seemed that it was of no use, but Luo Hao immediately thought of Chen Yong.

Is that guy Chen Yong really accumulating merit points in the hospital?

Try?

Luo Hao was only interested in Chen Yong's merit. As for the privacy of him and the girls, Luo Hao had no idea.

Professor Lei covered his legs with his hands, looking at the monitor and ventilator with a sad face.

As all the values ​​were normal, Professor Lei also knew that Luo Hao's judgment was correct - his relatives had bilateral spontaneous pneumothorax for some unknown reason after the chest was closed.

Because the ventilator keeps blowing air in, and there is no outlet for the air after the chest is closed, spontaneous pneumothorax quickly evolves into tension pneumothorax, which quickly leads to the deterioration of the patient's vital signs.

Professor Lei can also understand everything that happens next.

The amount of air in the chest increases, the pressure increases, the diaphragm moves downward, and the circulatory system almost stops functioning under pressure.

Tension pneumothorax can last for a while without a ventilator. But with a ventilator constantly blowing air into the lungs, this is the most serious form of tension pneumothorax.

It's obviously fine, but why is it a tension pneumothorax? !
Professor Lei sat on the ground, wanting to cry but without tears.

My relatives have been brought back from death by Luo Hao, so I want to express my gratitude.

But less than a minute ago, Luo Hao cursed himself and then kicked him away.

I hit my head on the door and am still a little dizzy now.

Professor Lei knew Luo Hao's subtext at that time - a good dog doesn't stand in the way.

But now I want to talk to Luo Hao...

Professor Lei couldn't help but look like this.

After all, rescuing people is like putting out fires. If you block the way, you are not a good dog.

But don't you talk to Luo Hao? Do you still want to lose face?

It’s so frustrating, so frustrating! !
Professor Lei sat on the ground in a daze, thinking about countless things in his mind.

I am the one who was beaten. What if I sue Luo Hao? Will there be fifteen days of detention?

It seemed that he wouldn't, so Luo Hao kicked himself. It didn't hurt much, but it was extremely insulting.

I didn't even have a chance to pretend to be sick.

Besides, this is an operating room and everyone is watching.

Professor Lei was thinking a lot when he suddenly reached out a hand.

Luo Hao shows favor to himself? Professor Lei suddenly felt relieved.

That’s right, you hit me, even though it was for rescuing me, but you can’t go too far. I was anxious at the time, but afterward I made up for it and asked me to step down.

Professor Lei was still thinking when he suddenly heard the voice of Mr. Ma Liu Yiyi.

"Lao Lei, why are you sitting on the ground?"

Then Mr. Ma Liu Yiyi grabbed Professor Lei’s isolation suit with his hand and lifted him up from the ground.

"What, your legs are so scared? Have you peed?" Mr. Ma Liu Yiyi asked reluctantly.

"..." Professor Lei was stunned.

"The ground is cold. If you really pee soon, the nurse will have to clean it up. You are so old, you don't know how to pay attention. Speaking of which, your old prostate must have been calcified a long time ago,"

Depend on!
Professor Lei heard that Mr. Ma Liu Yiyi was speaking for Luo Hao. He was afraid that he would have "evil thoughts", so he picked himself up from the ground and changed the topic.

You are the one being beaten, you are the victim!
Professor Lei really wanted to grab Mr. Ma Liu Yiyi by the collar and tell her the truth.

but……

Professor Lei knew that he could not defeat Liu Yiyi.

Just now, Boss Ma Liu Yiyi lifted herself up from the ground with one hand, like a little chicken.

"Why are you so sad? There was a little episode. Isn't this solved?" Mr. Ma Liu Yiyi looked at Professor Lei with disdain, "Come on, give me a smile."

This joke is not funny at all.

But Director Fang still smiled and said, "Xiao Liu, why are you here?"

"The surgery patient next door is awake. I have nothing to do and I came to check on him." General Manager Liu Yiyi said, "Director Fang, what's going on?"

In fact, Mr. Ma Liu Yiyi understood clearly, especially when Luo Hao raised his foot and kicked him, it was indeed Lian Jiazi.

At this time, Luo Hao was sitting with his back against the wall, seemingly entering the sage moment after the rescue, acting unscrupulously.

Professor Luo is really true.

Mr. Ma Liu Yiyi admired him deeply.

This person is really not afraid of trouble and doesn't care what will happen if Professor Lei has evil intentions. He is full of contempt for Professor Lei.

Manager Ma Liu Yiyi was full of inner drama. She had no idea that Luo Hao was in a period of weakness after the [flow] state, so she just speculated on Luo Hao's thoughts according to her own thoughts.

"Professor Luo, you are awesome!" President Ma Liu Yiyi gave a thumbs up and praised.

Luo Hao tried his best to raise his head and squinted his eyes.

Manager Ma Liu Yiyi saw that Luo Hao was silent, with a hint of weirdness in his eyes, and his heart suddenly jumped.

It was over, Professor Luo was very angry, and probably wanted to beat up Professor Lei.

If it were him, he would probably do this, Liu Yiyi guessed.

"Old Lei, you said you are the same, a veteran professor of gastrointestinal surgery, but you can't even understand percussion." General Manager Liu Yiyi quickly picked up a basin of dirty water and poured it on Professor Lei.

Just a few scoldings and a few hits and that's it. Don't really make a big fuss, Manager Ma Liu Yiyi thought to herself.

Professor Lei's eyes were red and he almost cried.

Terribly wronged.

But Professor Lei also knew that he could only lower his head and endure it at this time. No matter what happened, as long as he spoke forcefully, he would be despised by everyone.

The bigger things get, the harder it will be for me to gain a foothold in the future.

Professor Lei has a very clear mind.

"You are really awesome." Mr. Ma Liu Yiyi said scornfully, "If I were you, I would have gone to say thank you to Professor Luo by now, otherwise your relatives would have been in trouble by now."

"..."

"Damn it, you are a big girl entering the bridal chamber."

Luo Hao sighed deeply in his heart.

He knew what Liu Yiyi was thinking, but he really didn't have the strength.

Fortunately, the negative effects have been weakened.

"I'll take a look for a while, and then I'll be fine." Luo Hao said softly.

Professor Lei hesitated again and again, and could only bite back the tears and came to Luo Hao.

"Professor Luo, thank you."

(End of this chapter)