White armor

Chapter 22

"Hey, that's too much." After seeing the girl leave angrily, Luo Hao complained softly, "What you said just now gave me goosebumps. Now you use me as a shield to say such disgusting words, don't blame me for being rude."

"I even said you can't take off your mask, but you don't believe it." Chen Yong didn't care. He pulled away and started to masturbate, as if he was not surprised.

Luo Hao really didn't expect that Chen Yong's mask had this meaning.

"It's hard for you mortals to understand my troubles if you don't look good enough." Chen Yong said lightly.

"..."

"Did you know that when Cameron was filming Titanic, the male lead he originally chose was not Lao Li?" Chen Yong suddenly asked something far away.

Luo Hao shook his head and looked carefully at Chen Yong. He looked nothing like Xiao Lizi.

"During the interview, all the female colleagues ran out to watch Lao Li. When he was young, Lao Li's appearance could still be compared with mine."

"Uh..." Luo Hao was speechless.

"Lao Li was still little Li at that time. When he came, all the women on the set began to become nymphomaniacs. Cameron did not stick to his own point of view and chose to believe in the aesthetics of the majority of women."

"Then what?" Luo Hao asked.

"I'm telling you with examples, some things are there when they are born, and if they don't exist, they don't exist. There are some things that you just can't understand."

Luo Hao lowered his head to eat the skewers. The child next to him sat obediently, with the slap marks on his face very conspicuous.

I really wanted to slap Chen Yong, but Luo Hao's hand was a little itchy.

It can be seen that Chen Yong wants to find a topic, but his topic is jerky and boring.

After finishing the meal, Luo Hao scanned the QR code to pay the bill. After leaving the Piyang BBQ, he asked, "What happened to you today?"

The words were a bit vague, but Chen Yong understood.

The mask moved, and finally a thousand words turned into a sigh, "I'm not used to talking to men."

"!!!"

Luo Hao really wanted to kick Chen Yong hard before [Energy Conversion] disappeared. This guy looked like he really deserved a beating.

[As the saying goes, a man will remain a boy until he dies, but why should a boy worry about this...]

The phone rings.

Luo Hao picked it up and took a look. It was Lin Yuming calling.

Get on the phone immediately.

"Luo Hao."

A serious voice came from the other side of the phone, Luo Hao was awe-inspiring.

There must be something going on at the hospital, otherwise when my uncle calls at this time, the first thing he calls me is "Xiao Luohao".

[A patient with intestinal obstruction is considered to have intussusception. 】

"How old are you?" Luo Hao asked.

"42."

"!!!"

Intussusception is common in children, and it is easier to get it at that age, like the naughty children you meet while eating.

Intussusception in adults is generally accompanied by malignant tumors.

"We are doing enhanced CT, please take a look."

Lin Yuming's words were very strong. They were not discussing with Luo Hao, but informing him.

"Okay, I'll be there."

After hanging up the phone, Luo Hao hurried to the CT room without asking why.

As soon as I arrived in the CT room, there was a chaotic sound inside.

Did the patient die suddenly? !
Luo Hao's heart tightened, and at the same time, a "ding dong~" mission prompt sounded in his ears.

[Emergency mission: benign or malignant

Task content: Accurately diagnose the cause of intussusception, benign and malignant, and successfully surgically treat it.

Task time: 8 hours.

Mission reward: 10000 experience points, auxiliary diagnostic AI fragments x 2. 】

The mission appeared, but Luo Hao was not happy.

I am not the director of the department, so it is not my turn to perform the surgery.

Even if he takes the initiative to ask for help, both Lin Yuming and the director of the relevant department will refuse.

Sometimes the atmosphere of "seniority ranking" in the medical system is so strong that it almost becomes an ideological stamp.There is certainly reason and logic in this, but for Luo Hao, this kind of rule is bad news.

The system issued another impossible task.

Despite this, Luo Hao still hurried into the CT room.

But something unexpected happened. Luo Hao saw a scene he had never dreamed of.

The person lying on the ground was not the patient, but... Director Wen Youren Wen.

Wen Youren covered his chest with his hands and his face turned the color of pig liver.

Lin Yuming was on the phone, asking someone from the emergency department to come immediately.

What's going on here?
"Tah, just pretending." Chen Yong whispered contemptuously behind Luo Hao.

installed?

Luo Hao glanced at the CT screen. The patient's enhanced CT scan had come out.

AI Luo Hao can give a clear diagnosis without the need for auxiliary diagnosis - intussusception + space-occupying lesion.

The image showed that there was a 6cm long slender structure in the intestinal lumen with uniform fat density and clear edges, suggesting intestinal lipoma.

"Director Lin, I'm here."

Seeing Lin Yuming finish the phone call, Luo Hao said immediately.

As he spoke, he looked at Wen Youren lying on the ground.

Wen Youren's face turned the color of pig's liver and his lips were slightly cyanotic, but it didn't look like he was having a heart attack.

After all, holding your breath may cause your face to change and the color of your lips to change, but sweating profusely is difficult to fake.

At this point, Luo Hao agreed with Chen Yong - Wen Youren was deliberately pretending to be ill.

But why did Wen Youren do this?
He fell to the ground in public. After a while, the electrocardiogram showed that there was no problem. How did Wen Youren explain?

"Watch the movie first and don't worry about Director Wen's emergency treatment." Lin Yuming said solemnly.

Soon, the 120 emergency doctor came over and sent Wen Youren directly to the Department of Circulation Medicine on a stretcher.

Another full half hour passed before Lin Yuming came back with a sullen expression.

"Luo Hao, what do you think?" Lin Yuming asked.

"Space-occupying lesions in the intestine are considered benign." Luo Hao replied.

"Benign? Are you sure?"

"Not sure, you know, only pathology is the gold standard. Before the pathology results come out, any definite statement is a lie."

"..."

Lin Yuming hated this typical way of doctors explaining their illness.

He would say this even when it was his turn.

"Luo Hao, I want a definite answer."

"I think it's benign, but it requires the gold standard of pathology." Luo Hao said, "Director Lin, Director Wen is..."

"He suspected it was a malignant tumor. He couldn't do it because he wasn't good enough. He didn't have enough time to transfer to a higher-level hospital, and he would definitely suffer from intestinal necrosis. So, he just pretended to be dead."

Lin Yuming said harshly.

Pretending to be dead, this word is really vivid.

Lin Yuming only said the "best" guess, and there was an even worse guess. Lin Yuming was afraid of teaching the children badly, so he didn't say it.

Luo Hao did not discuss Wen Youren's matter. He didn't care about the dirty tricks of those old villains. Instead, he began to contact the teachers in the imperial capital to give a correct and definite diagnosis.

Lin Yuming looked at the busy Luo Hao and felt at ease.

Luo Hao is the bridge between mine managers and higher-level hospitals to obtain high-end medical care.

Since Luo Hao came back, he can just leave some things to him and there is no need to worry about it himself.

High-end medical care is important to everyone.

Without Luo Hao, the vice president would be out of reach for him.

Soon, Luo Hao finished communicating with teachers from related majors in Imperial City, who agreed with Luo Hao's diagnosis - considering that the space-occupying lesions in the intestines were lipomas.

After the diagnosis was confirmed, Lin Yuming's face didn't look any better.

"Director Lin, the diagnosis has been made clear and emergency surgery is needed immediately." Luo Hao suggested.

"Hey!" Lin Yuming snorted coldly, with a frosty look on his face.

Luo Hao was a little confused.

"No one in the general surgery department can perform intestinal resection except Director Wen." Chen Yong pulled Luo Hao's clothes and whispered a "secret."

"!!!" Luo Hao was surprised.

"Director Wen keeps all the more advanced surgeries in his own hands, and no one else can touch them. Because of this, at least three doctors were forced to leave."

"Director Lin, doesn't our Medical Office care about this kind of thing?" Luo Hao asked.

"There are no internal problems within the department, and there are no complaints from patients' families. The director feels that his doctors cannot perform high-level surgeries, so how can I take care of it."

When did intestinal resection and anastomosis become high-level surgeries?Luo Hao said he didn't understand.

"That's it, I'll contact you immediately and find a doctor who can perform the surgery." Lin Yuming said absently.

During the hospital-wide consultation, the medical office pointed at Wen Youren's nose and sprayed him with scoldings. It was great, but it did make Wen Youren feel resentful.

Lin Yuming also didn't expect that this guy would use surgery, treatment, and the patient's safety to threaten him.He was thinking about the response plan in his mind, and dug up the ancestral grave of Wen Youren's family 36 times.

However, Lin Yuming was not in a hurry. He was never afraid to speculate the worst about others.Lin Yuming had already prepared a response to Wen Youren's actions.

The patient has intussusception and there is a problem with the intestinal blood supply. Intestinal necrosis will occur if the operation is slightly delayed.

At that time, not only 10cm of intestine will be cut, but 1 meter of intestine is normal.

Mb!

Lin Yuming cursed in his heart.

Wen Youren is really nothing!
Luo Hao frowned slightly and followed Lin Yuming out quickly.

"Uncle, if you can't find anyone, I can do it."

"Huh?!" Lin Yuming looked back at Luo Hao in surprise, "Small snail, human life is at stake, stop making trouble."

Luo Hao took out a stack of papers from his pocket, flipped through it, found one and handed it to Lin Yuming.

It is a copy of the intermediate certificate with the scope of practice on it.

“It’s no use just having a scope of practice, you also have to have that technical level.”

As soon as he finished speaking, Lin Yuming fell into deep thought.

If the puncture and solidification of ovarian cysts and liver cysts is simple and not considered surgery at all, and it doesn’t matter if Luo Hao can do it, then ercp is not simple.

It can even be said that there are definitely no more than 50 doctors in the province who can complete ercp.

Although Luo Hao did not complete it himself, Director Shi spoke highly of Luo Hao...

Maybe it works?

No, no, no, this matter is too serious. Even if Luo Hao is not practicing medicine illegally, Lin Yuming doesn't want to take the risk.

"Uncle, it can be like this." Luo Hao was very excited. Especially when something went wrong, his whole body was running at high speed like a CPU, glowing all over, and he instantly found a way to convince Lin Yuming.

"What?" "I'll take Chen Yong to open his abdomen first, and then reset his intestines. If you can do it, do it. If you can't, just cover it with warm saline gauze. That way, the surgeon you call for rescue doesn't have to rush for ten minutes. Two 10 minutes.”

"???"

"!!!"

This is indeed a perfect solution.

"I have the qualifications for surgery, and there is no legal problem. I will solve the immediate needs first, and other things are not important."

Lin Yuming made a quick decision. He made a fist with his right hand and hit it on the palm of his left hand.

"it is good!"

"Uncle, who are you going to find?"

"Old Director Guohua." Lin Yuming said in a deep voice as he strode out, "He is Director Wen's master, and he led Director Wen to perform surgery 20 years younger. But the old man is old and may not be so fast. arrive."

Luo Hao nodded.

"One more thing, we have offended Wen Youren very badly. If the old director Guohua doesn't understand and is grumpy on the operating table, you can hold back any grievances you have to me."

Luo Hao continued to nod.

Whether he was wronged or not was one thing. Luo Hao didn't care. It was serious to have the surgery done first.

If there is a slight delay, the patient will have to cut out an extra meter of intestines.

In comparison, my own grievances are truly unimportant.

The diagnosis is clear, preoperative preparations have been completed, and medical treatment is proceeding in an orderly manner.

……

In the single room of the Department of Circulation Medicine, Wen Youren was lying on the hospital bed with his legs crossed.

"Old Wen, what are you doing today?" Wen Youren's lover didn't understand and asked impatiently, "You lie down on the ground in front of so many people. If you don't think it's embarrassing, I still think it's embarrassing."

"What do you know?" Wen Youren said disdainfully, "Today's patient needs an operation to cut off the intestines and then anastomose them. Let me tell you, this is not a minor operation. To be honest, no one in Donglian City can do it except me. . Even if I do it, the success rate is not high."

"Why do I remember that this was a minor operation when the old director Guohua was here?" Wen Youren's lover asked doubtfully, "When we eat together, I always hear you say that when we meet patients in car accidents, their intestines are smashed. You are full of shit, and you are said to be a shit picker or something like that.”

"Hey." Wen Youren said with a proud expression, "Everyone who can do it has left. In the past few years, I have suppressed the doctors below to not let them do it. Jiang Wenming, how many times did you want to do this surgery? I kicked him out." Went to the outpatient clinic. What the hell, a Monkey King wants to jump out of my Five Fingers Mountain?"

"Xiao Jiang is not bad, why don't you let him do it."

"Teach the disciples to starve the master to death." Wen Youren said, "Just like this time, Lin Yuming, an old dog, actually attacked me in front of everyone in the hospital. I want to see if I really encounter an emergency. Who did he ask for surgery?"

Wen Youren's lover looked unbearable.

"Don't worry, I won't really skip the operation." Wen Youren said, "I will put on an intravenous drip when I get on stage. Lin Yuming will definitely be his grandson this time, hahaha!"

Speaking of what he was proud of, Wen Youren burst out laughing.

"He's going to do something inappropriate."

"You don't understand." Wen Youren waved his hand, "Those who work in clinical practice are all brainwashed by treating diseases and saving people. They are all very stupid."

Wen Youren's lover was stunned.

"I'll take a rest, and then I'll go to the operating room with an intravenous drip. Lin Yuming will have to kneel down and beg me!"

……

15 minute later.

The patient has been positioned properly, and the anesthetist has completed the anesthesia. He looks at Luo Hao and Chen Yong undergoing surgery with worry in their eyes.

"Chen Yong, where is your master?" the anesthesiologist asked.

"I'm at home." Chen Yong said weakly, without any energy at all.

"Lao Wen is sick. The only one in your department who can cut the intestines is your master. Ask him to come!" the anesthesiologist suggested.

"Brother Guan, do you remember there was a car accident the winter before last year? You were also anesthetized. At that time, I had just returned from the UK and entered the clinic, doing my first rescue."

Luo Hao pricked up his ears.

Chen Yong is still an international student in the UK?Which Pheasant University is it?

"Remember, Lao Wen drank too much that day and couldn't go to the operating table. Your master cut out the intestines and performed an anastomosis. To be honest..."

When the anesthesiologist said this, he glanced at the air-tight door of the operating room.

There was no one outside, it was quiet.

"Your master's skills are better than Director Wen's. He doesn't perform surgeries very quickly, but he is very precise and quick. Unlike Mr. Wen, Mr. Guohua has taught so many surgeries step by step, but he still can't perform some common surgeries." good."

"Just because my master did it, the day before the patient recovered and was discharged, Director Wen found a reason to suspend him and become a teaching secretary."

"Huh? Is this why he became a religious secretary?"

"Well, I guess so." Chen Yong gritted his teeth and said, "If my master dares to come on stage now, he won't even be able to leave the clinic tomorrow."

"Tsk..." The anesthesiologist was speechless.

He turned to look at Luo Hao and said helplessly, "Then you can't take Ronaldinho for surgery."

Chen Yong was startled for a moment. The skin between the mask and the hat was a little red. After holding it in for a few seconds, he said calmly, "I am an assistant and a junior doctor to Luo Hao."

"!!!"

"!!!"

The anesthesiologist, circulating nurse, and equipment nurse were all stunned. The two nurses who were counting had forgotten how many they had counted and looked at Chen Yong in disbelief.

"Ronaldo, have you ever had a similar operation?" the anesthesiologist asked in surprise.

"I have done it. I did dozens of cases when I was in school." Luo Hao replied while getting dressed.

go to school.

The anesthesiologist sighed inwardly.

Does that count?
The current mine hospital no longer has the same enthusiasm as it did more than ten years ago. Back then, the mine hospital was the number one hospital in the eastern region of the province, and it was only slightly worse than the three affiliated hospitals of the Medical University in the province. For other hospitals, it was almost They are all far ahead.

But now, all kinds of stinky fish and rotten shrimps...

Ugh.

The anesthesiologist made no secret of his disappointment and sighed deeply.

Luo Hao stood on the operating table. The shadowless lamp light was a bit white and dazzling.

This place is like a stage, there is no applause, only endless responsibilities.

Luo Hao didn't have any literary thoughts. He looked for the place to open the skin, stretched out his hand, and whispered, "Disinfection."

Pat the iodophor gauze over.

The power was a bit strong, and Luo Hao knew very well that the instrument nurse was dissatisfied with him as the surgeon.

However, Luo Hao didn't care. Instead, he raised his head, narrowed his eyes, and gave the equipment nurse a smile.

After disinfecting the surgical area with iodophor gauze, Chen Yong wiped it with dry gauze. Luo Hao stretched out his hand and said, "Knife."

A scalpel was slapped in Luo Hao's hand.

Use the pen-holding method to incise the skin, and press dry gauze on the surgical incision immediately.

After electrocautery was used to stop the bleeding, blunt dissection was started.

The anesthesiologist wrote the time on the anesthesia record sheet, looked up at the values ​​on the ECG monitor and the ventilator, then lowered his head to continue writing the anesthesia sheet.

But he said "Hey", put down his pen and stood up, looking from the patient's head to the surgical area.

Time to write a record, peritoneal protection has started? !
Anesthesiologists know what they are doing, and it is not uncommon for surgeons to enter the abdomen so quickly, but it should never happen to a surgeon who is doing surgery for the "first time".

He stood behind Luo Hao with his hands behind his back, staring at the surgery area.

Luo Hao had already protected the peritoneum, gently incised it and extended it with blunt scissors.

After completely opening the abdominal cavity, Luo Hao picked up the large curved retractor, dipped it in warm salt water to open the abdominal wall, and handed the retractor to Chen Yong.

"The backhand should be higher." Luo Hao warned.

Chen Yong rarely spoke and was obviously a little nervous, but he cooperated well and exposed his skills quite well.

The incision was well chosen, the surgical field was well exposed, and the area of ​​intestinal volvulus was clearly visible.

"Intussusception is rare in adults. Can't we give him an air enema?" The anesthesiologist only took a few glances before his attitude toward Luo Hao changed.

Surgery departments and clinical departments must rely on technology to speak for themselves.

As long as people don't fuck up, the more skilled they are, the more they will be admired.

What's more, Luo Hao also had a +1 bonus from peer admiration given by the system, so the anesthesiologist's attitude changed from cold to gentle.

"Looking at the X-ray, the patient has a space-occupying lesion in his intestines. However, it is not considered malignant. The initial diagnosis is a benign lipoma."

Luo Hao said.

The anesthesiologist covered his head with his hands and wailed, "Is there someone from the pathology department?!"

"Director Lin asked the director of the pathology department to do intraoperative freezing. The machine has already been turned on." Luo Hao said.

"Director Lin is sleeping at home, right?" the traveling nurse asked angrily.

In the middle of the night, a "novice" was hired to perform the surgery. Everyone in the operating room had objections to Luo Hao.If it weren't for the bonus of being admired by her peers, I'm afraid the traveling nurse would have been beaten and beaten.

"No, Director Lin went to the old director Guohua's house to ask the old director to help." Luo Hao answered while stroking his intestines and untangling the intussusceptible intestines.

That's it!

The atmosphere in the operating room suddenly became cheerful.

Luo Hao was only responsible for the preliminary preparation work, and all subsequent surgeries were performed by the senior director Guohua.

That's good!
That's good! !

"What a shame, I didn't tell you that the old director of Guohua was coming." The circulating nurse moved a high stool for the equipment nurse so that she could sit down and rest at any time. She also sat on the stool in the corner, "Xiao Luo, I thought You are the surgeon."

"I'm just responding to an emergency." Luo Hao smiled, "Find the location first and solve the intussusception to prevent too much intestinal necrosis. When the old director Guohua comes, he can directly cut the intestines and freeze them during the operation. It's okay. If the child is concerned, the intestinal anastomosis will be done and it will be over in half an hour."

The atmosphere in the operating room was more cheerful.

The previous inhibitions were gone.

"Where is Director Wen?" the equipment nurse asked curiously.

"Director Wen had a heart attack and was hospitalized in the Department of Circulation Medicine."

"I usually see Lao Wen in good health. Why is he so brittle? He collapsed right before the surgery." The traveling nurse said with a smile, "His body has grown so big."

The circulating nurse knew a little about the rumors in the hospital, and in connection with the sudden "heart attack", she quickly winked at the equipment nurse.

Luo Hao ignored everyone's opinions about Director Wen, loosened the intestines and touched it for 30 seconds, "It should be fine, warm salt water gauze."

"Here we come!" the equipment nurse agreed briskly.

It is necessary to cover the intestine with warm saline gauze to determine whether there is intestinal necrosis.

This is just enough time to wait for the old director Guohua to come to "rescue Taiwan."

"Chen Yong, are you studying in the UK?" Luo Hao gently placed his hands on the gauze pad protecting the peritoneum and looked at Chen Yong.

"Yeah." Chen Yong nodded.

"Which school?"

"..." Chen Yong was silent.

Luo Hao was a little surprised. Even if Chen Yong graduated from a certain pheasant university, he shouldn't be embarrassed to say it.

"Hahaha, Xiao Chen is so awesome." The anesthesiologist knew the details and laughed, "You can't even guess what he learned."

"Isn't he a master of medicine?" Luo Hao asked.

"Have you read Harry Potter?"

"???" Luo Hao was full of questions. Is it possible that Chen Yong could go to Hogwarts after studying abroad?
Isn't this bullshit.

"The University of Exeter in England."

(End of this chapter)