White armor

Chapter 2 Little Snail, good
In the corner of the huge and detailed skill tree, there is a sub-discipline - interventional science.

This discipline has numerous branches and is connected to almost all clinical disciplines.

Interventional studies?
Luo Hao is no stranger to this "unpopular" subject. It seems that ovarian cysts can also be treated with interventional surgery.

With a thought, the interventional subject was opened.

Two interventional discipline secondary skill trees appeared in front of Luo Hao - catheterization and puncture.

The treatment method for ovarian cysts is a level 3 skill in the puncture skill tree, which is bright, which means that Luo Hao can now master and complete similar surgeries.

Oh?

Luo Hao's eyes lit up.

Luo Hao knew the basic principles, even if he had never undergone similar surgery.

The principle of the surgery is to puncture under B-ultrasound positioning, use a syringe to extract the fluid from the ovarian cyst, and then solidify it with drugs to reduce the leakage of fluid from the cyst.

But is it really useful?

There was a book icon behind the skill tree. Luo Hao clicked on it, and relevant papers on ovarian cyst puncture and sclerosis appeared in front of him.

It's really good. Luo Hao stopped criticizing the unreliable system and started reading the information.

In more than ten minutes, Luo Hao briefly read through relevant papers and felt that this could be done.

Because he was still in Director Lin's office, Luo Hao didn't plan to stay too long. It was better to find a quiet place to learn this type of technique.

Just as he was about to leave, Director Lin pushed the door in with a dark face.

"Director Lin." Luo Hao observed his words and knew that his uncle was not in a high mood, so he said hello honestly and obediently, trying to make himself invisible and avoid getting into trouble.

Director Lin had a gloomy look on his face and closed the door behind him.

There is only one word in Luo Hao's mind - close the door and beat the dog.

Lin Yuming's expression relaxed as he kissed his nephew in front of him, showing a little anger.

"What a long virgin!"

"Uncle, what's wrong?" Luo Hao knew that his uncle must have been scolded by the leader, and now he needed an audience to vent his dissatisfaction.

"The medical insurance will not pay, and there will be fines..."

As he spoke, Director Lin held it in, sat down angrily, and picked up the teapot.

"What did the obstetrics and gynecology department say?" Director Lin took a sip of tea and temporarily suppressed his anger.

Luo Hao briefly repeated the difficulties in obstetrics and gynecology without giving his own conclusion. Instead, he looked at Director Lin and waited for instructions from the leader like other department members.

Director Lin's face looked better after scolding him a few times.

Work is just work, and there are bound to be countless problems that cannot be solved.

The ecological niche of the Medical Department in the hospital belongs to the role of the scapegoat. All the areas that the senior officials in the departments are unwilling to touch are thrown to the Medical Department.

To put it crudely, the medical office is the cesspool of the hospital.

Lin Yuming realized that the emotional vent just now was just a burst after the accumulation reached the extreme.

"Go ahead and do whatever you have to do." Lin Yuming waved his hand and told Luo Hao to "get out" quickly.

After Luo Hao left the office of the Medical Director, he sat down at his desk and started to "busy".

Although Luo Hao has not yet learned how to perform without physical objects, everyone is "busy" with their own things, and no one cares about Luo Hao.

Luo Hao entered the system space and began to study it carefully.

Ovarian cyst puncture and sclerotherapy is not difficult. After reading the paper, Luo Hao entered the system operating room and started training.

Before the system was turned on, Luo Hao used the operating room for surgical training.

Unlimited general teachers are the dream of medical students, doctors, and even experts and professors.

[Benefits for newbies: The system will grant you 3 hours of system surgery training time. 】

When Luo Hao came to the system operating room, a line of words appeared in the upper right corner of his field of vision.

Luo Hao didn't think it was anything special at first, but when he started his first ovarian cyst puncture and sclerosis operation, he immediately realized the difference between the training time for systematic surgery and the previous surgery by himself.

The most abundant energy, top-notch mental power and understanding are completely different from training silently in the system operating room.

Luo Hao felt like there was a teacher in his mind, correcting his mistakes all the time.

It turns out the system is so easy to use!

Luo Hao was overjoyed.

It seems to have lived up to its expectations.

Three hours flew by in the blink of an eye, and Luo Hao gained a lot.

Looking at the tasks issued by the system, Luo Hao felt that it was nothing.

He recalled the technical details of puncture and sclerosis of ovarian cysts and already had a plan in mind.

Arriving at Lin Yuming's office door, Luo Hao knocked on the door and entered.

Lin Yuming was drinking water from an enamel jar. The words "Commemorative of Flood Fighting" that had peeled off the paint on the jar seemed to be covered with the dust of history.

"Xiaoluohao, what's wrong?" Lin Yuming asked.

Hearing his uncle call him Xiaoluohao, it is obvious that he is in a good mood now.

But when it came to official matters, Luo Hao still stood up straight and formally said, "Director Lin, I have found a way to solve some obstetrics and gynecology problems."

"Oh?" Lin Yuming held the enamel jar and looked up at Luo Hao.

Luo Hao recounted the conversation he had with Director Sun of the Department of Obstetrics and Gynecology and the patient with ovarian cysts earlier in the morning, and then proposed the solution of puncture sclerosis.

"The cost is low, and judging by DIP reimbursement standards, almost all patients with ovarian cysts can receive appropriate treatment."

Director Lin did not speak, but held the enamel jar in both hands in a daze.

Luo Hao thought that Director Lin would agree with his point of view without hesitation.

But now Director Lin's wandering state made Luo Hao feel Director Lin's silent rejection.

Is there something wrong with what I just said?
Luo Hao started to stroke it from scratch.

This is a plan that benefits all three or even four parties, so there shouldn't be any problems.

"Director Lin, look..."

"Do you think this is a plan that benefits everyone?" Director Lin asked directly as if he saw Luo Hao's thinking.

Luo Hao nodded blankly.

"The plan is feasible, but it depends on how to do it." Director Lin said with a straight face, still looking absent-minded, "You go back first, I will think about it."

Luo Hao glanced at the novice task given by the system and felt helpless.

It would be great if, like what is said in the novel, if you have a system, you will be invincible, and you will worship no matter who takes the lead.

But in fact something seems wrong.

Just as he was about to turn around, Director Lin suddenly asked, "Xiaoluohao, how is your B-ultrasound level?"

"It should be about the same level as the director of our B-ultrasound room."

Director Lin waved his hand again, chasing Luo Hao away like a fly.

……

Director Lin didn't see Luo Hao for three days.

In the past three days, Luo Hao entered the system countless times, and he had a more accurate understanding of the system.

"Luo Hao, come here for a moment."

One day after work, Lin Yuming called Luo Hao to his office.

"Director Lin." Luo Hao put his hands on his legs, acting obediently like an old clinical attending.

"A relative of a leader had an ovarian cyst and originally wanted to undergo laparoscopic surgery."

Luo Hao's eyes lit up, "I'll do it!"

"I want to eat shit." Lin Yuming looked at Luo Hao with disdain.

Luo Hao instantly understood what his uncle Lin Yuming was thinking.

"Director Lin, do you want to invite experts from outside?"

"Of course. You said you can do it, and I believe you can do it, but can Director Sun be convinced? Can the patient and the patient's family agree?" Lin Yuming did not answer Luo Hao's question directly, but said seriously, "First of all, Invite experts from outside to open an opening. Experts from the province will do puncture and sclerosis, and Director Sun won’t be able to say anything, which makes it easier for him to accept it.”

Luo Hao nodded repeatedly.

This is indeed the best way to deal with the problem.

"Get ready and take advantage of the opportunity of inviting external experts to lead a working group to the Department of Obstetrics and Gynecology."

"Ask Director Sun for the phone number of the patient who was refused hospitalization. You are responsible for contacting him."

"Anyway, the experts are here for a small treatment. They just want to do a few cases."

A bright smile appeared on Luo Hao's face, "Director Lin, you are wise."

"Shit!" Lin Yuming glanced at Luo Hao, "If you can pick it up, help the obstetrics and gynecology department. If you can't pick it up, you have to go another way."

His words were vague, but Luo Hao could probably understand what he meant.

Luo Hao accompanied the leader's relatives to go through hospitalization procedures and communicated with the obstetrics and gynecology department. Everything went smoothly.

In the afternoon of the next day, Lin Yuming and Director Sun went to the high-speed rail station to pick up Deputy Director Liu Haisen and Liu from the B-ultrasound room of the First Hospital Affiliated to the Provincial City.

The high-speed rail is very convenient. The journey that used to take half a day now takes about an hour.

Even Lin Yuming didn't arrange accommodation for Deputy Director Liu. After Deputy Director Liu had the operation, they had a meal together and caught the last high-speed train back to the provincial capital.

At the exit of the station, Lin Yuming raised his hands high.

"Sixth!"

"Boss Lin, long time no see." Deputy Director Liu walked over quickly with a smile, opened his arms and gave Lin Yuming a hug.

Lin Yuming introduced, "Haisen is the director of the B-ultrasound room of the First Affiliated Hospital, and he is also my brother who sleeps on the upper bunk."

A familiar melody sounded faintly in several people's ears.

"You drank a lot of my instant noodle soup back then."

"Who said you were rich? You could afford Master Kong at that time. By the way, now I am tired of eating delicacies from the mountains and seas. When I look back, the most delicious thing I have ever eaten in my life is your leftover instant noodle soup."

"I'm not hiding it. Master Kang is under the bed. You can take it yourself if you want."

Director Sun saw the two of them holding each other's back and showing great enthusiasm, so he silently followed them into the car.

"Lao Liu, is there no problem with the operation?" Lin Yuming asked after saying a few words.

"It's a small operation, it's okay." Deputy Director Liu said casually.

Immediately, he stopped talking.

Lin Yuming could understand Deputy Director Liu's meaning, and he had nothing to be embarrassed about. He said with a smile, "We don't perform many interventional surgeries. If you have any questions, just say it."

"After all, it is one of the top five tertiary hospitals in the province. Ten years ago, your hospital was ranked fourth in all indicators. Except for the three affiliated hospitals of the Medical University, even the provincial hospital cannot compare with you." "That's all in the past. Well." Lin Yuming said, "Most of the doctors who got involved in this field in their early years...were poached by hospitals in the south at high prices. Our hospital is in constant supply."

Deputy Director Liu nodded and asked a few questions about the patient's basic situation. He knew what was going on and stopped talking about this topic.

When they arrived at the hospital, after getting off the car, Lin Yuming leaned into Deputy Director Liu's ear and whispered, "Sixth, my nephew is here, please give me a slap."

"Damn it, Boss Lin, what are you talking about?" Deputy Director Liu curled his lips, "If it works, you can find someone in the province. I can handle everything in the first affiliated hospital. Come to my place to do B-ultrasound, guaranteed for three years." Then there are the provincial experts.”

Lin Yuming knew that Deputy Director Liu would be wrong, but the fact that people were talking about it to such an extent showed that the feeling of being classmates has not diminished.

Also, the older people get, the more they miss the past.

It has been 30 years since I graduated, and in the blink of an eye, my classmates and teenagers who were in their prime are about to retire and go home to see their grandchildren.

"Ha, it doesn't matter whether it's useful or not, I'll thank you in advance." Lin Yuming said with a smile, "My nephew is a bit weird."

"Personality?"

"There's absolutely no problem with his character, and there's no problem with his talent. He studied for eight consecutive years at the Union College of Economics and Management."

"!!!" Deputy Director Liu was surprised and looked sideways at Lin Yuming.

Young people who have studied for eight consecutive years at the Union College of Medicine and Ph.D. are basically geniuses among geniuses in the medical circle. I didn't expect that Boss Lin's nephew was so promising.

but……

The Ph.D. students in the Union Medical College who jointly studied for bachelor's degree, master's degree and Ph.D. are all geniuses among geniuses. Most of them skipped grades in primary school, junior high school and high school, so they did not graduate at a very young age.

Young doctors are 23 or 4 years old, usually around 25 years old.

Regardless of whether Concorde is difficult to retain, who will score.The young doctor who holds a master's degree in eight years bears the label and brand of Union Medical College. He belongs to the direct lineage of Union Medical College and is the one to be passed down from generation to generation.

It is said that except for doctors who have a bachelor's degree from Union Medical College, no matter how good they are, they will be labeled as having insufficient basic knowledge in Union Hospital and may even be ostracized.

Why would such a promising young man return to his hometown if he didn't stay in Xiehe?
"Boss Lin, why didn't the child stay in Xiehe?"

"Don't mention it. It is said that an old academician of Union Medical College wanted to keep him, but this bastard actually refused. I thought he was falling out of love or something. When he came back, I was worried that he would stay in the clinic and stay with me to watch."

"I haven't noticed any emotional changes during this period. Take a look at it for me to see if his B-ultrasound level is good. If it works, I want him to do this."

"Okay, don't worry, Boss Lin. Since you have been studying at Xiehe University for eight years, you must have a good foundation."

"Luo Hao, this is Liu Haisen, deputy director of the first B-ultrasound of the Medical University."

Luo Hao was called over and introduced to Liu Haisen seriously.

"Hello, Teacher Liu." Luo Hao smiled and bowed.

Originally, I had a specialist consultation in the morning and performed more than 30 B-ultrasounds. Not to mention taking a lunch break after the busy work, I even ate lunch on the high-speed rail. Liu Haisen felt a little tired.

But after he met Luo Hao, Liu Haisen immediately became very fond of this sunny young man, and his fatigue even eased a lot.

Luo Hao had an indescribable sense of sunshine.

"Yes." Deputy Director Liu smiled, "You're welcome. Please report your medical history first."

"The patient is female..." Luo Hao blurted out without looking at the medical records, and the details of the report were appropriate.

Deputy Director Liu nodded frequently.

If nothing else, just the knowledge of this medical record shows that Boss Lin's nephew is pretty good.

Moreover, Luo Hao emphasized the points that he cared about most.

After the report, Luo Hao added, "I asked three times openly and secretly. Both the patient and the patient's family are sure that the patient can drink alcohol and will not get drunk after drinking eight ounces of white wine."

"Ah."

"I have prepared anhydrous alcohol and lauromacrol and sent them to the B-ultrasound room. You can use whatever you want."

Deputy Director Liu was even more satisfied with Luo Hao's performance.

This is a novice doctor who is exposed to interventional surgery for the first time. He is just as useful as his own doctors.

After reporting the medical history, Luo Hao disappeared appropriately. Deputy Director Liu looked at the patient and went to the B-ultrasound room after seeing that there were no contraindications for surgery.

Originally, Deputy Director Liu wanted to give Boss Zulin face, so he did it himself from beginning to end.

But unexpectedly, after arriving in the B-ultrasound room, Luo Hao started to get busy automatically and consciously, positioning himself and preparing various equipment and consumables.

Deputy Director Liu simply stood aside and watched Luo Hao's every move silently.

Because it was a local anesthesia operation, everything the doctor said could be heard by the patient, so Lin Yuming didn't ask any questions and accompanied Deputy Director Liu to quietly watch Luo Hao's work.

Luo Hao's movements are simple and clean.

Observing words and demeanor, Lin Yuming could tell from Deputy Director Liu's expression that Luo Hao seemed to be doing a good job.

"Teacher Liu, you are ready."

Deputy Director Liu nodded, sat next to the patient and began to perform B-ultrasound on the patient.

After finding the puncture site for the ovarian cyst, Deputy Director Liu called to Luo Hao, "Xiao Luo, help me do it."

Luo Hao took the B-ultrasound probe and fixed it firmly on the patient's abdominal wall.

Puncture was performed to extract the fluid in the ovarian cyst, which was then repeatedly rinsed and solidified with lauromacrogol.

After 10 minutes, the operation was over.

The entire operation was uneventful.

After the operation, without waiting for Deputy Director Liu's arrangements, Luo Hao explained the pathology and other matters that needed attention to the head nurse.

This kid is good, Deputy Director Liu sighed again.

"After half an hour's rest, the patient can walk back." Deputy Director Liu said.

"Walk back? It's better to push it back." Director Sun of the Obstetrics and Gynecology Department suggested.

Lin Yuming raised his eyebrows and said, "Rest for half an hour and let the patient walk back by himself."

Walking back and pushing back are the same for doctors, but they are completely different psychologically for patients and their families.

Before surgery, patients and their families are very nervous.

But if you walk back after the operation, as long as your IQ reaches the level of ordinary people, you will understand that the operation was very good and the trauma was extremely small.

The patient was asked to sit aside. Luo Hao and the doctor in charge looked at the patient. Director Lin, Deputy Director Liu, Director Sun of the Obstetrics and Gynecology Department, and Director of the B-ultrasound room came to the director's office to rest.

As soon as he entered the door, Deputy Director Liu took Lin Yuming's arm and asked, "Did you really not perform interventional surgery?"

"Ah?" Lin Yuming was startled.

"I think Ronaldinho is very skilled, and every step he does is impeccable." Deputy Director Liu carefully chose his words, and after pondering for a few seconds, he continued, "I feel that without the training of [-] surgeries, I can't do it. This step.”

"..."

"..."

"..."

Several people from the mine boss were surprised.

"One more detail. I asked Ronaldinho to hold the probe for me. Boss Lin, did you notice that his hand moved slightly?"

"!!!"

Although Lin Yuming and Deputy Director Liu both graduated from the imaging major of Mudanjiang Medical College, they have been away from clinical practice for more than ten years. B-ultrasound images can be roughly understood, but the details are definitely not up to date.

"There is a small capillary there. To be honest, if you prick it, it will be punctured. It doesn't matter. But Luo Hao moved the probe and exposed the capillary and I avoided it. This operation reduced the bleeding by 5ml."

"I thought it was a coincidence at first, but the more I thought about it, the more wrong it became."

Lin Yuming had a different thought in his heart when he heard Deputy Director Liu talking.

"Director Liu, we have never done any interventional surgery." The director of the B-ultrasound room of the Mining Institute whispered.

"That's what I did in Xiehe." Deputy Director Liu gave a positive reply, "Boss Lin, this kid is not bad, but to put it bluntly, he is a bit overqualified for his use here, hahaha."

Lin Yuming smiled, feeling very relieved.

"Not bad." Deputy Director Liu gave his final evaluation.

"Lao Liu, just now Xiaoluohao secretly told me that you are very skilled. Let me ask you if you have time to throw a knife."

Deputy Director Liu was startled.

Was this because I was being tested inadvertently?

The level of experts and professors in flying knife varies widely, and there is also mutual evaluation between doctors in local hospitals.

"How many similar patients do you have?"

"It should be a lot, but have you paid for dip now? Laparoscopy can't be done." Lin Yuming spread his hands.

"Okay." Deputy Director Liu thought for a while and nodded in agreement.

Surgery is the main practice, and B-ultrasound and interventional doctors are less likely to perform surgery.

Patients and their families do not have to travel; experts have to pay for flying knives; and doctors in local hospitals can also have access to higher-end technologies.

All three are beneficial things, and they can be done with confidence.

Although Deputy Director Liu was not very interested in this matter, Boss Lin wanted to give him face, and he was quite interested in Luo Hao.

"Okay." Deputy Director Liu said, "Let Ronaldinho do it when the patient is brought in. I don't worry about others doing it."

"Oh? How do you say it?" Lin Yuming asked.

"The devil is in the details." Deputy Director Liu said, "For example, Ronaldinho repeatedly emphasized that the patient drinks alcohol because alcohol is used for solidification. If the patient has a history of alcohol allergy, something may happen."

"When I first started interventional surgery, I was about to go home after an operation. The clinician suddenly called me and said that the patient's condition was not good and he might need to be admitted to the ICU."

"!!!"

"I took a look and was dumbfounded. The patient was lying on the bed talking nonsense... just like a patient who had a brain injury in a car accident."

"I had no choice but to call the teacher in Imperial City for consultation."

"It was later concluded that the patient could not drink alcohol. The solidification of dozens of milliliters of absolute alcohol would cause the patient to become drunk."

"Is this okay?!" Lin Yuming was surprised.

"I was also worried, fearing that it was something else, so I sat on the bedside and watched all night." Deputy Director Liu said, "The next morning, the patient woke up and everything was normal. From then on, I kept it in mind this matter."

"It's a clinical experience."

"Judging from this detail, it is definitely not the first time Dr. Ronaldinho has encountered similar patients. He repeatedly emphasized this point when reporting the medical history."

"also……"

Deputy Director Liu casually said what he saw.

The smile on Lin Yuming's face grew stronger.

Luo Hao, not bad.

……

"This is a minimally invasive surgery and is the direction of future medical development." Luo Hao explained to the patient's family, "The teachers at the Medical University are of very high standards and are at least among the top three in the province. This minor illness will definitely be fine."

(End of this chapter)