White armor

Chapter 20 Give You a Chance You Don't Use It
"I won't say much else. They are all my old mine bosses. Everyone here is my senior. Everyone can see the changes in these years."

"When it comes to medical treatment, we talk about treating diseases. Director Wen, you are a provincial-level famous doctor. You were rated No. 1 in our mine the year before last."

"The patient's past history is not difficult to understand. The medical records written by the old director are gathering dust in the medical record room. Why did the old director write the medical records by hand? I think there are only a few reasons, one of which is!"

With that said, Luo Hao paused and looked around at the doctors attending the meeting.

At this moment, all the directors and attending physicians in the lecture theater were in a daze.

Luo Hao stood on the podium so young. Although his words were heartbreaking, his smile was still sunny.

The look in his eyes just now was completely different from everyone's inherent understanding of Luo Hao. Everyone seemed to see the shadow of Lin Yuming in Luo Hao.

No, he was sharper than the young Lin Yuming, and even as sharp as the now mature and feared Director Lin.

"The old director was worried that the patient would have complications after surgery, and complications would occur many years later when he had retired or even was no longer alive. So! He was afraid that the junior doctor could not write the surgical records, so he wrote them in his own hand to record the key points of the surgery at that time. .

If the patient develops complications in the future, the treating doctor can deal with them in a targeted manner. "

After speaking, Luo Hao looked at Wen Youren, "The old director taught me the surgery step by step, why didn't Director Wen learn the old director's caution and seriousness?"

When the conversation reached this point, Wen Youren's face turned from red to black.

Luo Hao smiled, "Director Wen, please calm down. Now let's go back to the case. To be fair, the Medical Office thinks Director Wen's opinion is right."

???

!!!

Except for Lin Yuming, everyone was confused by Luo Hao's words.

Pointing at Wen Youren's nose and scolding him, he has almost raised his family's ancestral grave. In Wen Youren's family tree, it is written that Luo Hao's visit here is as short as peeing like a monkey.

But Luo Hao turned around and said Wen Youren's opinion was right!

What is Luo Hao doing?
What is the medical office doing? !

"For cesspool syndrome, surgery was the first choice in the past, but now, times have changed."

"The ercp+esd technique is the first choice."

With that said, Luo Hao turned around and looked at Lin Yuming.

Lin Yuming slowly put down the enamel jar in his hand.

"Bah~"

He sighed softly and spit out the tea leaves in his mouth.

"Everyone has heard the diagnosis and treatment opinions of the medical office. Do you have any different opinions?"

Lin Yuming asked.

There was silence in the lecture theater.

Luo Hao had just given out the basis for diagnosis, differential diagnosis, and final diagnosis. He was well-founded and even brought out the surgical records handwritten by the old director in order to prove his correctness.

Opinion?

No opinion.

Who dares to have an opinion!
Some people have already lowered their heads, holding mobile phones in their hands, searching for content related to cesspool syndrome on CNKI.

Lin Yuming waited for a few seconds and then said slowly, "ERCP has not been implemented in our hospital. We bought the equipment a few years ago, but there is a shortage of people. Director Wen, Director Li, you two, please tell me, should the patient stay in the hospital?" General surgery or gastroenterology.”

Wen Youren's face turned the color of pig liver.

"Director Lin, please stay with us." Director Li stood up and said, "The gastrointestinal endoscopy room itself is under our control, and the business is similar. It is my fault that this patient was sent to the general surgery department. I will give it to Director Wen here." Apologize."

As soon as Director Li finished speaking, he turned to apologize to Wen Youren.

Lin Yuming's words made it very clear that whoever receives this patient will be responsible for carrying out ERCP surgery in the future.

Normally, Director Li might think about it and weigh the pros and cons before making a decision.

But he had just been scolded severely by Wen Youren, and he was full of anger. The medical office helped him to scold Wen Youren back, and he must catch this cake.

Even if it's not a cake but a weight, Director Li is willing to do it as long as it makes Wen Youren feel uncomfortable.

"Where is Director Wen?" Lin Yuming asked calmly.

Wen Youren was silent, with a wonderful expression on his face.

Seeing that Director Wen was silent, Lin Yuming knocked on the table and arranged many subsequent matters.

"It turns out that the medical office has already found an expert who is a first-year medical student..."

In the lecture theater, an attending physician lowered his voice in surprise and spoke to his director.

The director looked solemn and looked at Lin Yuming, who was holding an enamel jar, and his lips moved.

"Director, the Medical Office is hanging Director Wen up and beating him."

"So what." The director said in a voice that only he could hear.

"what?"

"Lao Wen is not honest in his work. No wonder the medical department is so ruthless. After more than ten or 20 years of rampage, he finally hit a wall."

"How will Director Wen meet people in the hospital from now on?"

"You don't know how to treat a doctor, so you still blame others? For us doctors, food is the original sin!"

In the lecture theater, there was a buzz of discussion. The doctors were talking quietly while looking at Lin Yuming and Wen Youren.

Lin Yuming's arrangement was very simple, and he announced the adjournment of the meeting in less than 2 minutes.

In a unique hospital-wide consultation, the directors of each department turned into monkeys, and Wen Youren was the chicken that was killed.

The meeting was over and everyone left.

"Old Wen, wait a minute." Lin Yuming greeted with a smile.

Wen Youren saw Lin Yuming greeting him with a smile as if nothing had happened. The knife under the smile pierced his chest, and he almost had a heart attack on the spot.

Lin Yuming was simply not a good person. He hid a knife behind his smile, and when he really wanted to stab himself, he would hit him hard.

The most important thing is that after he stabbed himself, he still laughed and called himself Lao Wen, as if nothing had ever happened.

"Old Wen." Lin Yuming walked to Wen Youren holding an enamel jar, "Originally, I was planning to let the general surgery department take over ercp, and the gastrointestinal endoscopy department will be shared by the two departments. After all, it is a surgery department, what can we do? Accidents are also good emergency first aid.”

Director Li felt as if he had been struck by a whip on his back, jolting him.

"It's a pity that I gave you a chance, but you didn't use it."

Lin Yuming patted Wen Youren on the shoulder and left with regret.

If I give you a chance, you won’t use it!

These words were like a sledgehammer hitting Wen Youren's coronary arteries.

Eighty~
Eighty~~
Eighty~~~
Boom~boom~~boom~~~
Wen Youren's eyes were dazzled and he almost fell down.

He suffered from precordial cramping and difficulty breathing. Wen Youren felt that his three coronary arteries were spasming at the same time.

……

……

"Xiao Luohao, you did a good job discussing the case."

In the office of the medical director, Lin Yuming was full of praise.

"It's okay. I always did similar things when I was in school. I'm used to it."

"But some things are better for an old guy like me to come forward. You can be a little gentler. Just now, it was a bit sharp. It was too offending. I should be the one to say the curse." Lin Yuming said.

"I've thought about it, but it feels useless. I've already broken my skin, and there's no point in worrying so much." Luo Hao said calmly, "And Wen Youren encouraged the patient's family to sue Mr. Liu, who was flying the knife. I can't accept this kind of thing. No. If you scold him, my mind will be unstable."

Lin Yuming looked Luo Hao up and down, holding the enamel jar in his hand, smiling without saying a word.

"By the way, uncle, I have something to report to you."

"You said."

"Our mine has equipment for ERCP surgery, but not the consumables."

"I'll contact Director Shi and let him take charge."

Luo Hao nodded and did not mention what he had explained to Mr. Yin.

Just make up for it on your own. Luo Hao has always been cautious, careful and low-key in doing things.

"Uncle, the last sentence you said almost made Director Wen suffer from a heart attack." Luo Hao said with a smile.

"To tell the truth," Lin Yuming said, "If the cardiac surgery department doesn't do interventional surgery, then the circulatory department does it. If the general surgery department doesn't do gastrointestinal endoscopy, then the gastroenterology department does it. The boundaries between medical and surgical departments and surgical and non-surgical departments are becoming increasingly blurred. I think you know better than me. Times are different.

You couldn't see clearly 20 years ago, that's what you should be doing, but what age are you in now, and you still can't see it?Stupid to hang up. "

Luo Hao nodded.

Wen Youren was indeed given a chance, but he failed.

"That sentence also tells the directors of other departments that there will be opportunities in the future, and I hope they can seize them."

"Uncle, are you ready..."

"There is too much pressure on medical insurance, and the treatment of many diseases cannot rely on the previous path. Now we have to change even if we don't want to, and we have to change even if we don't want to."

"It's useless to complain. Let's find another way. The earlier we change, the better days will be longer. As for the future, who knows. Maybe one day the United States will suddenly become more than a dozen countries, and our lives will be easier. Maybe."

Well, the responsibility lies with the United States, Luo Hao thought with a smile.

……

……

"Master, you didn't go to the hospital-wide consultation. Director Lin is so awesome!!" Chen Yong said to Jiang Wenming with excitement on his face.

"Haha." Jiang Wenming looked at the outline in the document and smiled absently.

"I didn't expect you were right, Master. Director Lin is not a coward, but looks for an opportunity to give Director Wen a hard blow."

"I saw it," Jiang Wenming said, "I just finished the meeting and I received a lot of WeChat messages."

"what?"

"I have worked in the hospital for more than ten years, and I have a few bad friends. They told me." Jiang Wenming smiled, "This little guy Luo Hao is quite interesting."

Speaking of Luo Hao, Chen Yong fell silent.

Only this time, his neck was a little soft and not stiff.

"I made a ppt in such a short time. It was well-founded and well-founded. Director Wen was speechless. This was a crushing of basic medical knowledge and a dimensionality reduction blow. Director Wen had a bad temper. Luo Hao pointed He scolded me, which was really fun!"

"By the way, Chen Yong, have you gone to the Internet cafe with Luo Hao?"

Chen Yong grimaced and shook his head.

"Luo Hao doesn't play games and is more miserable than you, Master."

"Am I poor? Otherwise, I want to live as comfortable and comfortable as possible." Jiang Wenming said, "Besides, how can young people not play games... So how is your relationship with Luo Hao?"

Chen Yong felt bitter in his mouth when he remembered that he had just scolded Luo Hao in the fire escape.

"You." Jiang Wenming understood his little apprentice and sighed, "Believe me, go find Luo Hao and try to join his medical team."

"He is still at the medical office. Where is the medical team?"

"Just be stubborn." Jiang Wenming looked away from the document and looked deeply at Chen Yong, "First the cyst was punctured, and then Director Lin vigorously promoted ercp. I guess it was caused by too much pressure on the medical insurance side. .”

"This is a good opportunity. Nothing like this happened when I was young. If a pie hits your head, you must be prepared and know that it is a pie. Otherwise... what did Director Lin say?"

"Give you a chance and you're useless."

!!!

Chen Yong was stunned.

Why is there something of my own here?

Opportunity, is this an opportunity?

……

...Three days later, the patient's condition stabilized after anti-inflammatory and symptomatic treatment.

Lin Yuming contacted Director Yi Shi of the Medical University to perform the surgery.

Because the mine manager only had machines and no consumables, Director Shi took the manufacturer's sales team to Donglian City.

Selling flying knives with manufacturers was considered the norm a few years ago.With the deepening of medical anti-corruption, very few people do this anymore.

Director Shi and the factory manager were sitting in the high-speed rail business cabin, and he felt awkward all over.

If he hadn't been thinking about Luo Hao, Director Shi would definitely not have come. At most, for Liu Haisen's sake, he would have left a bed for the patient to come to the provincial capital for medical treatment.

After getting off the train, Director Shi saw Luo Hao's sunny smile.

The anxiety along the way disappeared.

Luo Hao is a really good kid, no matter how you look at him, he is pleasing to the eye.

"Hello, Teacher Shi." Luo Hao came forward.

He took a look and didn't pick up the trolley case sold by the manufacturer. Instead, he took Director Shi's backpack.

"Ronald, how are you preparing?"

"Teacher Shi, the last time our mine manager did ercp was 5 years ago. We also hired a professor and only did one case. Now there is nothing to do. If you have any requests, just ask us and we will do our best to do it." Luo Hao replied.

Director Shi knew that Luo Hao's basic skills were quite solid, and he had communicated with him in the group for a long time. The patient's information was detailed, and he had surgical indications and no contraindications.

Luo Hao is worried about consumables.

"I brought the sales from the manufacturer." Director Shi whispered, "It's just this one time, I won't do it next time. If someone catches this, it will be difficult to explain in the future."

"Okay, okay, Director Shi, don't worry." Lin Yuming said.

Director Shi found it funny to treat a disease and perform an operation like a thief.

He chatted lightly with Lin Yuming and pulled Luo Hao into the car.

"Ronaldino, come and set the stage for me today, and let me see how good you are."

"I haven't done it." Luo Hao replied modestly.

Lin Yuming's face looked a little ugly.

Ercp surgery first uses an endoscope, and you also need to be exposed to X-rays when removing the stone.

If it was Luo Hao's request, Lin Yuming would definitely deny it without hesitation, and then hang Luo Hao up and scold him.

But this was Director Shi's request, and there seemed to be other implications behind the request.

So Lin Yuming didn't speak.

"Never done it? I don't believe it." Director Shi laughed. "I have read all the pre-operative preparations. They are very detailed. If the doctors under me were as careful as you, I would go to the temple to burn incense on New Year's Day."

"..." Lin Yuming was stunned.

He didn't expect Director Shi to give Luo Hao such a high evaluation.

"If it weren't for you, I wouldn't have come to do the surgery." Director Shi said frankly, "If you say it's about treating illnesses and saving lives, in other people's eyes, it's all medical corruption. Forget it, don't talk about it, just prepare for the surgery. You can help me when the time comes."

"Okay, Teacher Shi."

Luo Hao didn't show any pretense and agreed.

"Ronaldino, we have little contact, but there is one thing I still want to say, let's just say that our friendship is shallow and deep."

"Teacher Shi, you are too polite. Young people like me definitely need the guidance of senior teachers."

"Are you playing games?" Director Shi asked a nonsensical question.

Luo Hao was stunned for a moment, then replied, "Play."

"Do you want to watch League of Legends games?"

"Look."

"In 2018, the IG team won the championship in the League of Legends S8 competition held in Incheon, you know."

“Climb this mountain and they’ll hear your story.”

Luo Hao immediately understood what Director Shi was going to say.

Lin Yuming and the manufacturer's salesperson were all stunned.

"Everyone treats illnesses and saves lives. This is true, but with great power comes great responsibility." Director Shi was even more satisfied with Luo Hao. It was really effortless to talk to smart people.

"I don't know why you didn't stay in the Imperial Capital and returned to Donglian City. But after you cross this mountain, they will hear your story."

Director Shi warned.

"Thank you, Teacher Shi."

"You're welcome, please contact me if you have any ideas." Director Shi said, "If you feel concerned, you can go through the advanced training procedures first and get used to it during your first year of medical school. By the way, what is the scope of your practicing certificate?"

Luo Hao was a little embarrassed. He scratched his head and said, "Teacher Shi, I have 7 practicing certificates."

"!!!"

Director Shi was shocked.

He stared at Luo Hao carefully, as if he was seeing this young man for the first time.

There should be countless stories behind 7 intermediate certificates and 7 scopes of practice.

I just said it casually - climb over this mountain and they will hear your story.Unexpectedly, Luo Hao is really a young man with a story.

"Good, good! Good!!"

Director Shi said three good words in a row.

Lin Yuming was also a little surprised. If Luo Hao was said to be sophisticated, he would not believe it anyway.

But other than that, there is no reasonable explanation.

"Depending on what you mean, the doctor's platform is still very important." Director Shi glanced at the manufacturer's sales and said reservedly, "Now it's not just doctors who don't want to deal with people from manufacturers, but manufacturers also don't want to deal with doctors. "

"After all, do you want to avoid suspicion?"

"To put it bluntly, if you want to find another doctor in the province to go to Donglian City to perform surgery with the manufacturer's sales and consumables, it is basically impossible. Why can I do it?"

"Platform and technology." Luo Hao said, "The first-year medical platform and your technology, Teacher Shi, are all needed by manufacturers."

"Yes, you can't leave either one." Director Shi said, "Climb over this mountain, and they will hear your story. Donglian City is too small, you can easily climb over it."

Luo Hao nodded thoughtfully.

Seeing that Luo Hao did not give a clear answer, Director Shi was not in a hurry.Lin Yuming was more attentive than Luo Hao and asked questions from the side, but Director Shi changed the subject.

When you come to the hospital, see the patient first as usual.

Many experts and professors arrive at the hospital with patients already lying on the operating table, but this is not compliant and carries risks.

Seeing the patient before surgery is a must.

After several days of symptomatic treatment, the patient's condition has improved. After seeing the patient, Director Shi took people to the operating room.

Luo Hao helped Director Shi put on his lead clothes, and Director Shi went to wash his hands.

When Luo Hao was putting on his lead clothes, Lin Yuming walked to the dressing room and looked at Luo Hao seriously.

"Lead scarf, lead hat."

"..." Luo Hao looked helplessly at the passive ability [Energy Transformation], feeling helpless.

Because Lin Yuming did not allow Luo Hao to perform interventional surgery, he had not had the opportunity to try it out during this period to see if this passive ability was useful.

Director Shi asked today, but Lin Yuming didn't say no, but still asked Luo Hao to dress neatly before taking the stage.

Luo Hao did not try to talk back to his uncle Lin Yuming, but carefully put on his lead hat and scarf.

"Director Lin, don't worry so much." Director Shi said, "The operation is very fast, and the time to take the thread is within 5 minutes."

"Haha." Lin Yuming smiled dryly without any compromise.

Luo Hao walked into the operating room under the watch of Lin Yuming.

The gastroscope passed smoothly through the esophagus and stomach cavity, and found the main uterus in the duodenum. The uterus was in the shape of rt (that's what the surgical record said...it also had other shapes, so I won't describe it verbosely), and the opening of the stomach was villi-shaped.

Luo Hao stood next to Director Shi, looking at the position of the mirror on the screen, not missing Director Shi's movements from the corner of his eye.

As soon as Director Shi raised his hand, Luo Hao handed the imaging catheter into his hand.

The movement was so smooth that Director Shi paused for a moment, as if the frame was stuck.

After inserting the contrast catheter, 30% diatrizoate meglumine was used for contrast imaging to visualize the bile duct.

An X-ray was taken, and the image showed that the diameter of the common bile duct was about 2.0cm, and several filling defects were visible in it, which were round and irregular in shape, with a maximum size of about 1.5cm x 1.2cm. The shadows of the filling defects were moveable.

Luo Hao used his remaining surgical training time to try treatment. The patient had stones in his intrahepatic bile duct.

The images once again prove the reliability of the system.

From the corner of his eye, he saw Director Shi reach out again, and Luo Hao handed the pull-type incision knife that he had prepared long ago into his hand.

It's like Director Shi has a pull-type incision knife in his hand. The movements are smooth and round, as if Director Shi is a great magician. The pull-type incision knife appears when needed, and this knife appears when it is not needed. Just disappear.

"Ronald Luo, look inside." Director Shi knew what he needed and had it just as soon as he raised his hand, which proved that Luo Hao's level was very high, so he admired Luo Hao's attitude even more and spoke kindly to him.

"There is a stone stuck in the common bile duct." Luo Hao said.

"There are not many people in the province who can take out the stones." Director Shi looked at the screen with a smile, "I am one of them."

Luo Hao will wait and see.

Director Shi stretched out his hand, and the three-claw basketball net fell into his hand.

He didn't look at it, weighed it, and frowned.

"Ronald, I don't want this, give me one..."

Halfway through his words, Director Shi realized that he was not performing the surgery at home, but at the Mine General Hospital in Donglian City.

The smooth operation stopped, and Director Shi looked back at the sterile table.

Only the three-claw net stone remover!
He thought for a moment, raised his hands in front of his chest, and turned around to find the manufacturer he brought to sell.

I glanced over, but saw no one.

The smooth operation was forcibly terminated, and a trace of anger flashed on Director Shi's gentle face.

"Director Lin, ask Xiao Wei to come in." Director Shi said firmly.

Lin Yuming understood that the operation encountered difficulties and might require special consumables. He did not adhere to the rule that the consumables dealer could not enter the operating room, so he turned around and called for someone.

Soon, the manufacturer sales brought by Director Shi came in.

"Xiaowei, skylite takes the stone basket net." Director Shi said.

The salesman was startled for a moment. He opened the trolley case and looked for it one by one.

Director Shi didn't hear the salesman's answer to him, but he already understood that this guy didn't bring the Skylite Stone Basket Net.

This is the most annoying thing when going out to fly knives.

Various equipment and consumables are not easy to use, and now I am not allowed to bring someone from the manufacturer with me, so if something goes wrong, the operation will not go smoothly.

Md!

Director Shi cursed in his heart and his face became even uglier.

It is possible to use a three-claw net, but that will suddenly increase the difficulty of the operation and involve countless unpredictable risks.

"Didn't you bring it?" Director Shi asked unhappily.

"..." Sales responded to Director Shi's question with silence.

The good-tempered Director Shi was about to curse when suddenly a clear voice came.

"Teacher Shi, if Skylite takes the Stone Basketball Net, I may have the necessary consumables here."

(End of this chapter)