White armor

Chapter 228 Young People Are Impulsive

Blood potassium 6.93 mmol/L!

Yang Jinghe took a look and said calmly, "Bed 2-6, please consult."

"Okay, Director." The attending physician immediately took action.

Luo Hao transferred the medical record to bed 2-6. After reading it, he compared it with the massive amount of medical records in the Union Hospital medical record library and thought for a while, "Director Yang, I'll go take a look at this patient."

“???” Yang Jinghe was stunned.

It's just a critical value. We need to consult with relevant departments to prevent hyperkalemia from causing cardiac arrest and corresponding side effects in patients. That's it. What's so good about Luo Hao?

Isn't it also hyperkalemia? Can it be cured just by looking at it?
Although he said so and thought so in his heart, Yang Jinghe did not stop him. Instead, he stood up with a smile and said, "Let's go and take a look together."

"What does Professor Luo want to see?" the young doctor whispered.

"I guess you're trying to find fault. Is there something wrong with the doctor's orders for 2-6?"

"There is no problem, but there is a problem. It's a show of force, right? Why did he come to our department to show his power?"

Yang Jinghe heard the young doctors whispering behind him, turned around, and glanced around with a cold face.

His eyes were as sharp as knives, cold and sharp.

Everyone was silent.

Luo Hao had sharp ears and eyes, and could hear more clearly than Yang Jinghe, but he didn't care what others said.

The patient's condition seemed a little strange, and Luo Hao thought of a possibility.

When we arrived at the ward, the diagnostic AI gave a lot of diagnoses, but the only one missing was [hyperkalemia].

The laboratory reported a critical value, but the diagnostic assistance AI did not give a relevant diagnosis.

Luo Hao frowned as he looked at the patient and the system panel.

Bacteremia. Luo Hao stared at the diagnosis and thought for a few seconds.

If diagnostic assisted AI gives a diagnosis, treatment can be made according to the system's diagnosis, but what if there is no diagnosis?
Which diagnosis is correct when it does not match the auxiliary examination?
Luo Hao didn't even need to think about it and definitely believed in the system diagnosis assisted AI.

Soon, the diagnostic assisted AI with [fusion] skills listed 2139 similar medical records.

Luo Hao randomly looked at one of them and found it was similar to what he had guessed, so he felt relieved.

"Report your medical history." Yang Jinghe was somewhat dissatisfied and scolded in a deep voice.

"No need. I just took a look at the medical records." Luo Hao smiled. "Has the nurse who draws blood gone off duty?"

"The nursing department is on patrol and they haven't gotten off work yet." said a young doctor.

Nursing department?
Luo Hao frowned.

In the hospital, Luo Hao dislikes the nursing department the most.

He had little contact with the nursing department when he was in Union Medical College and didn't think much of it, but after returning to Donglian Mine as an officer in the Medical Department, Luo Hao had a lot of dealings with the nursing department.

It can be said that every director of the nursing department is basically not a human being.

Women are the ones who make things difficult for women the most, and this statement could not be more appropriate when applied to hospital nurses.

Those guys in the agency who are just sitting there doing nothing will just get a share of the money, and their performance bonuses will be averaged with the bonuses of the top three clinical departments.

Another thing is that when you go to get things done, they ask for bribes and won't do the work unless you give them some money.

Luo Hao could understand all of this.

but!

The nursing department is different.

They show their presence all the time and are active in the clinic every day. Various assessments keep the young nurses from even getting off the night shift.

Assessment, insults, all kinds of PUA techniques are used quite skillfully by the people in the Nursing Department. Luo Hao even feels that PUA is an exclusive skill of the Nursing Department. No matter who is the director of the Nursing Department, they will activate the skill and quickly max it out.

"Go find the nurse who draws blood." Yang Jinghe was somewhat dissatisfied with the attitude of the attending physician.

Compared with Meng Liangren, who was under Luo Hao's command, Yang Jinghe was a little annoyed that his own young doctor had no tact at all.

When the attending physician heard what Yang Jinghe said, he immediately turned around and ran to find the nurse.

Luo Hao walked to the door of the ward and took a look. The doctor in charge knocked on the door of the treatment room, and faint curses were heard from inside the door.

The curses were sharp, violent, and like a violent storm.

I wonder which young nurse is being scolded again, Luo Hao thought to himself.

But Luo Hao is not Chen Yong. He does not have the attributes of central air conditioning and is not interested in the profession of flower protector.

You can scold whoever you want, but it won’t be directed at yourself.

Luo Hao had learned from past experiences that the more brutal the director of nursing was to the young nurse, the kinder he would be to the clinical director. They knew very well in their minds who they could bully and who they could not, like a mirror.

When the door opened, the first thing that came out was curses.

"Can you do it? If you can't, get out. If you don't want to do it, there are plenty of people who are willing to do it."

"I don't have time, so why should others have time?"

"Who the hell indulged me in this bad habit?"

A series of scolding came like a machine gun.

The attending physician and the head nurse who opened the door spoke a few words in low voices.

"How do you do your clinical work? What are the precautions for blood drawing? I'll come back and answer them one by one later!"

"There must be something wrong with your blood collection, so the doctor is looking for you."

"hurry up."

Soon, a young nurse came trotting over with tears in her eyes.

A row of nurses followed behind him. The one in the lead was in his forties, with upturned eyebrows, thin lips, and a mean look on his face.

"Don't be anxious, take your time, I'm just asking about the situation." Luo Hao gave the young nurse a gentle smile.

The young nurse said nothing and looked down at her toes.

"Tell me about the blood drawing process." Luo Hao asked gently, but when he saw that the young nurse was very scared, he immediately comforted her gently, "I guess it's not about your blood drawing, just a few questions, and then there will be other treatment."

Isn't it about blood drawing?
Why are you asking the nurse for help if it's not about blood drawing?

Luo Hao's attempt to hide his mistake only made it more obvious. No one expected that he actually had this attribute.

Yang Jinghe looked at Luo Hao with a smile. He could see that Luo Hao was very gentle towards the young nurse, but ignored the director of the nursing department.

Young people are all like this.

Who wasn’t a hot sheep when they were young?

In a few years, Luo Hao will understand what's the big deal about a little nurse. She is not the one sleeping next to him, so why should he protect her?

Young people are full of passion and cannot bear to see others being bullied. This can be seen from the fact that Luo Hao insisted on performing surgery on Chen Jiao.

Yang Jinghe didn't say anything, he just stood aside and watched the fun. He wanted to see what kind of trouble Luo Hao was going to make.

"I...I...I..."

The young nurse stammered and couldn't utter a complete sentence.

"You are speechless! Professor Luo is asking you a question!" the director of the nursing department scolded harshly.

Then, she turned to look at Luo Hao with a smile on her face, "Luo..."

Before the director of the nursing department finished speaking, Luo Hao also smiled in a formulaic way, but his smile was not real. "Keep your voice down. We are in the ward. No noise is allowed."

"???"

"!!!"

Fuck, Luo Hao really confronted the director of the nursing department without hesitation just for a little nurse who was as lowly as an ant?!
"Relax, it really has nothing to do with you." Luo Hao turned around and comforted the young nurse.

Luo Hao and the director of the nursing department were both playing face-changing, but with different targets.

The more Yang Jinghe watched, the more interesting it became.

The young nurse's emotions did not stabilize, but became more and more wooden, and she began to answer Luo Hao's questions in a low voice.

The expression of the director of the nursing department was also very strange, which Yang Jinghe found interesting.

Such sharp and irreconcilable contradictions are really rare.

It is not difficult to stir up a conflict, but the difficult part is how to resolve it.

Yang Jinghe felt that he seemed to have found Luo Hao's flaw. Young people are really young people. They are always full of passion and never use their brains.

Full of passion and never caring about the consequences, Luo Hao's immaturity is fully revealed.

Finally, Luo Hao determined that the nurse's specimen collection process met the requirements, and there was no slapping of the blood collection site or use of the tourniquet for too long.

After collection, the specimens were sent for examination in a timely manner, and no refrigeration or freezing was performed on them;
There was no mixing of EDTA anticoagulant blood collection tubes and biochemical tube specimens.

Everything was very standard; even the nurse could tell us the approximate time for blood collection and testing.

"Old Yang, the nurses under your command are pretty good and very capable! They are no worse than those at my Union Hospital." Luo Hao praised.

Yang Jinghe was stunned.

The last second, he was still watching Luo Hao's excitement, wanting to see how Luo Hao would resolve the conflict he had provoked.

The next second, Luo Hao pushed the young nurse onto himself with just one sentence.

This thing...

Yang Jinghe thought of the possibility that Meng Liangren had mentioned in the interventional catheterization room—reverse flying knife to solve the problem of no radioactive particles.

He became more and more certain that the possibility was not Meng Liangren's idea, but Luo Hao's idea.

Yang Jinghe was stunned for a moment, while Luo Hao had already taken out his cell phone to make a call.

"Chen Yong, radiotherapy, ward 2."

After saying that, Luo Hao hung up the phone.

"Old Yang, why don't you take another tube of blood?" Luo Hao looked at Yang Jinghe and said in the affirmative.

The sample was collected again, and under the watchful eyes of Luo Hao and Yang Jinghe, the nurse's hands began to tremble.

"Let me do it." Luo Hao gently took the blood collection equipment from the nurse and began to draw blood like a textbook.

The movements were standard, just like when Luo Hao was giving an open class, explaining the key points of blood drawing to the students of the Medical University.

Yang Jinghe watched quietly, and he didn't know what Luo Hao was going to do.

Is it to show off the blood collection?

But is there any point in appearing to be more skilled than the nurses?
Yang Jinghe didn't understand.

If it was before going to the imperial capital, Yang Jinghe would be disdainful, and even say a few words when he was in a bad mood.

But after visiting the imperial capital once, Yang Jinghe witnessed many things with his own eyes.

Luo Haode was the one who came up with the surgical plan for the difficult case. He also went on stage to assist Director Pan and successfully completed the operation.

All these indicate that Luo Hao has already made a place for himself in the medical field.

Yang Jinghe was very sure that Luo Hao would not do such meaningless things as his performance was higher than that of the nurses.

After the blood draw, Luo Hao looked up and saw Chen Yong and Meng Liangren.

He handed the blood collection tube to Chen Yong. Chen Yong glanced at the people in the room, sensed an undercurrent, and handed the blood collection tube back to Meng Liangren.

"Old Meng, hurry up."

Meng Liangren didn't say anything, just nodded, took the blood collection tube and ran away, and his figure disappeared in an instant.

"Professor Xiao Luo, what do you think?"

After the blood sample was sent away, Yang Jinghe asked, "I suspect the patient does not have hyperkalemia. Let's see the reexamination results." Luo Hao smiled.

The director of the nursing department, the head nurse, and the young nurse all looked unhappy all of a sudden.

Luo Hao meant the problem of the nurse drawing blood!
In a word, all the nurses were offended, and Yang Jinghe also felt strange.

It is said that Professor Xiao Luo's EQ should not be so low. Even if it is an issue of blood drawing, he has countless ways to avoid offending others and still make his point clear.

But Luo Hao chose the most annoying way.

"Okay, let's wait for the results first." Luo Hao patted the patient, chatted with him for a few words, comforted him out of habit, and turned to leave.

It was only then that Yang Jinghe noticed that Chen Yong was not wearing a mask. He was standing at the door of the corridor, talking and laughing happily with the director of the nursing department.

"..."

Yang Jinghe was speechless.

But he noticed that the atmosphere just now was not tense, but awkward.

But as Chen Yong and the director of the nursing department began to talk, the atmosphere unconsciously eased a little.

Is this the purpose for Luo Hao to ask Chen Yong to come?

Yang Jinghe didn't know, he just watched quietly.

Yang Jinghe had even forgotten his original purpose. He was completely confused by Luo Hao's repeated words.

Back in the office, Luo Hao sat down in front of the computer calmly.

"Sister, come in and take a look." Chen Yong's voice came, "You check eight hundred times a day. The basic skills of all the nurses in the hospital are very strong. Luo Hao doesn't mean that. Come in and wait."

"No, my side is still there..."

"It's too tiring to check on the nurses every day. Sometimes you should be more approachable and communicate more with the doctors."

Chen Yong walked in with the director of the nursing department.

There was nothing special about Chen Yong's words just now; they were gentle at best. But coupled with Leo's appearance at the peak of his looks, Chen Yong was glowing. As he walked in, the whole office lit up.

Luo Hao seemed to have forgotten what had just happened. He was quietly looking at the medical records and communicating with the attending physician from time to time.

Yang Jinghe sat next to Luo Hao, looked at Luo Hao, and then at Chen Yong.

These two are quite interesting.

Luo Hao called Chen Yong at that time. Without any further explanation, he simply and firmly told Chen Yong where he was going.

There was no communication between the two, but after Chen Yong arrived, he "understood" the situation and "tricked" the director of the nursing department into the doctor's office.

This kind of tacit understanding is simply amazing.

But what next?
Yang Jinghe thought about the various rumors about Chen Yong in the hospital and found this matter more interesting.

A tacit and stable medical team. There is no need for communication when encountering emergencies, and everyone gives each other enough trust.

This is absolutely impossible to be "created" by one person with high technical level.

It’s amazing! The more Yang Jinghe thought about it, the more surprised she was, and her opinion of Luo Hao and Luo Hao’s medical team became higher and higher.

He can perform surgery and diagnose, which means he is a very capable doctor, but it is hard to say how high his future will reach.

But it was terrifying that he could bring up such a tacit team in such a short period of time.

As Yang Jinghe thought about it, he came up with a strange possibility.

Luo Hao just praised the young nurse for his "training" and the blood drawing standards.

Damn it, do I have to take the blame myself?

Yang Jinghe pondered.

"Old Yang, this patient can try particle implantation first." After seeing four patients, Luo Hao finally found one.

Yang Jinghe threw away his previous distracting thoughts and looked at the medical records carefully.

Indeed, this patient has reached the late stage of cancer. If he undergoes radiotherapy, both Yang Jing and herself are worried about radiation pneumonia, which will lead to various complications.

If radiotherapy is performed, it will not prolong the patient's life, but will cause a decline in the quality of life due to a series of complications.

During the ward rounds early this morning, Yang Jinghe also explained to the patient's family and suggested that they go to the hospice ward and wait.

Luo Hao doesn't just pick patients randomly, he only picks those he doesn't want.

Yang Jinghe nodded inwardly, Professor Luo was indeed sensible and methodical in his work.

I guess he wanted to see the effectiveness of the drug on his own patients, and then promote it on a large scale after they were convinced.

"Xiao Luo, Professor." Yang Jinghe wrote down the patient and then asked, "What do you think the results of the blood test will be?"

"The patient does not have hyperkalemia." Luo Hao said confidently.

The director of the nursing department froze with a smile when she heard what Luo Hao said. The head nurse's facial muscles twitched a few times, as if she was constipated.

The little nurse standing in the corner lowered her head, as if she was about to cry, and tried her best to hide her emotions.

"Oh, I see."

"Old Yang, it's not about blood drawing." Luo Hao added.

Yang Jinghe smiled.

Luo Hao's excuses for the young nurse should not be too obvious. The blood potassium result was so high, and Luo Hao even drew blood himself. What should Luo Hao say when the results were reported?
Yang Jinghe shook his head and smiled without saying anything.

There is only one final result!
Either the patient's blood potassium level was high, or there was a problem with the nurse's blood collection process, resulting in hemolysis and hyperkalemia.

It absolutely cannot be neither.

There is something wrong with what Luo Hao said.

Yang Jinghe looked up at Chen Yong. The director of the nursing department was chatting with Chen Yong again. The ugly expression on his face just now had long disappeared.

With her ears pricked up, Yang Jinghe listened carefully to the conversation between Chen Yong and the director of the nursing department.

"Luo Hao's diagnosis was not wrong. As long as he is here, I will not see any patients. Whatever Luo Hao says is what I believe."

Chen Yong was communicating with the director of the nursing department with a smile on his face.

That's it?

Yang Jinghe felt disdainful.

Although he had gone through some things, including the patient with a liver mass that he "given" to Luo Hao at the beginning, he suspected that Luo Hao was mistaking a black for a white, and it was finally confirmed to be a spleen implant.

Xiaonan's surgery was called off, so in order to make a clear diagnosis and gain trust, Luo Hao directly consulted with Academician Lang via video.

All those things proved that Luo Hao's diagnostic skills were beyond imagination.

But this time, Luo Hao must have been impulsive and wanted to help the young nurse, but now he is in an embarrassing situation.

Yang Jinghe calmed down, moved to the side, pretended to write down the patient that Luo Hao mentioned, and took the opportunity to open another computer to start looking at the patient's information.

The patient was transferred from a municipal hospital and had advanced cancer accompanied by severe infection.

The cancer was in its late stages, and Yang Jinghe judged that radiotherapy and chemotherapy could provide some relief, with at least another two years of survival.

But the infection was severe, even to the point of bacteremia, coupled with global ion disorder and hyperkalemia.

Yang Jinghe's first judgment was to transfer the patient to a place like the ICU to adjust his condition first.

In fact, there is no problem with any treatment for this type of patient, but Luo Hao's statement that it is neither and not is a big problem.

It's not hyperkalemia, and it's not the nurse's fault. Could it be that the patient squeezed lemon juice into the tube himself?

Isn't this a joke?

Or does the problem lie with the laboratory?

Yang Jinghe thought about it carefully and felt that something was not right. Luo Hao must be talking nonsense.

"Xiao Luo, come here." Yang Jinghe said.

"Coming." Luo Hao slid his chair and came to Yang Jinghe.

"What do you think of this patient?"

"If it's just obstructive pneumonia, go to the respiratory department for medication; but now the situation is more serious. After we have a clear diagnosis, I suggest transferring to the ICU, curing the bacteremia, and then coming back for chemotherapy."

"..." Yang Jinghe was silent.

Isn’t this quite clear to Luo Hao?

Neither that and no, it must be Luo Hao who was speaking for the young nurse and then got himself into a quagmire from which he couldn't extricate himself.

Yang Jinghe smiled.

Ronaldinho's method of smoothing things over is not very clever. How can one jump in and smooth things over? Who does he think he is?!

"Well, then I will transfer the patient to the ICU now." Yang Jinghe showed goodwill and handed Luo Hao a ladder.

Come down quickly and stop standing there talking nonsense. Yang Jinghe felt that he was very kind and full of goodwill.

"Hold on."

Unexpectedly, Luo Hao directly rejected Yang Jinghe's ladder.

"Ok?"

"I'm worried that going to the ICU will require constant checkups, which will delay things. If I treat it as hyperkalemia, I'm afraid I'll have to be resuscitated. It's better to get a clear diagnosis first and then transfer it."

"!!!" Yang Jinghe looked at Luo Hao with disbelief, as if she had seen an idiot.

What is he talking about! Doesn’t Luo Hao know it himself? !
Luo Hao didn't seem to want to take the ladder that he handed over, nor did he want to come down!
Doesn’t Luo Hao realize what situation he is facing?

He seemed afraid that he would not "die" fast enough, so he asked his doctors to donate blood and urged for the results to come out quickly.

As a result, whether his blood potassium was high or low, Luo Hao would slap himself in the face.

Either Luo Hao's diagnosis was wrong, or there was a problem with the young nurse's blood drawing.

Don't let down the Tathagata, don't let down your lover? Luo Hao is still thinking about having both at this time?

Countless questions popped up in Yang Jinghe's mind.

Based on his understanding of Luo Hao, this guy is very smart and shouldn't do this.

[As the saying goes, a man stays young until he dies, but that is not true...]

Luo Hao picked up the phone.

"Professor Luo, the patient's blood potassium is 6.54!"

Meng Liangren's voice came through clearly.

Yang Jinghe sighed. It was indeed not the nurse's fault. The blood drawn by Luo Hao himself still showed hyperkalemia.

Got it!
Luo Hao lost face when he was asked to screen patients.

It was clearly hyperkalemia, but he insisted that it was not his. He refused to transfer the patient to the ICU and insisted on waiting for the test results.

What on earth was Ronaldinho thinking?!
If you say that lust is a double-edged sword, the young nurse was just being scolded, but Professor Luo insisted on standing up for her, and ended up confusing himself with the result.

Just now Luo Hao refused the ladder I handed over to him, now look how you're going to get down.

Yang Jinghe felt helpless.

After the experience in the imperial capital, Yang Jinghe felt much closer to Luo Hao, which was completely different from before. He didn't want to embarrass Luo Hao.

How can we get Professor Xiao Luo to step down from the stage?

Yang Jinghe subconsciously looked at Luo Hao.

but!

Luo Hao showed a confident smile, calm and composed. Yang Jinghe was stunned for a moment, could it be that... he had made a mistake again?

(End of this chapter)