White armor

Chapter 229 There Are Few Good People in the Nursing Department

"It should be the false increase in blood potassium caused by leukocytosis." Luo Hao said confidently.

His voice was calm and firm, as if he knew the outcome long ago and everything was under control.

"???"

"???"

"Take another blood sample."

Yang Jinghe felt a little annoyed. What was Luo Hao doing?
Just as Yang Jinghe was about to stop Luo Hao from "making trouble", his eyes fell on Chen Yong and Meng Liangren.

The two men had calm expressions, as if what Luo Hao said was natural.

Yang Jinghe swallowed back the words that he was about to say.

After the experience in the imperial capital, Yang Jinghe owed Luo Hao a huge favor, but that was secondary.

Yang Jinghe witnessed with her own eyes Luo Hao's status in Union Hospital, and realized that he was not just a doctoral student who "did not stay" after graduation.

Not only could he participate in the hospital-wide consultation attended by many bigwigs and chaired by Director Lang, an academician of the Chinese Academy of Engineering, but he could also go on stage and lend a hand to Director Pan of the Interventional Department of Peking Union Medical College to successfully complete the operation.

and many more?

An idea popped into Yang Jinghe's mind.

Just let Luo Hao mess around. Anyway, the most serious consequence would be that he would transfer to another department a few hours late, so it wouldn't be a big mistake.

No, it’s not nonsense. Yang Jinghe even had a bold idea in his mind.

"Draw blood." Yang Jinghe withdrew the idea of ​​dissuading.

"Director Yang, there's no need for that." The director of the nursing department looked at Yang Jinghe in surprise, with a hint of disdain in her surprise. She had the same idea as Yang Jinghe before, thinking that Luo Hao was just fooling around.

Blood has been drawn twice in a row. How much more blood does Luo Hao need to draw?

If there is no problem with the equipment in the laboratory, everyone will understand if it doesn't work once, and they will check it again to be on the safe side.

But he was not satisfied with the same result after two attempts, so Luo Hao wanted to try it for the third time!
If this isn't nonsense, what is it?!

"Huh? Are you teaching me how to do things?" Yang Jinghe glanced at the director of the nursing department.

"Uh..." The director of the nursing department has always been a bully who only bullies the weak and fears the strong. Ordinary department directors dare not offend him, let alone the odd one out among the department directors - Yang Jinghe.

"I was just saying it casually." Director Ma of the Nursing Department explained hurriedly.

"When will your nursing department be able to come to the clinic and give orders? Who taught you? Otherwise, I will give my office to you in the future?" Yang Jinghe asked indifferently.

Luo Hao raised his eyebrows.

Yang Jinghe is quite good. When you give him a pot, he doesn't try to avoid it and just takes it on his shoulders.

Old Yang is a good person!

“……” The director of the nursing department was speechless.

"If you give me face, I'll call you Director Ma. If I don't give you face, you're nothing! A foot-washing girl?"

The director of the nursing department, Ma, was scolded by the name of "foot-washing girl" and his face turned red.

"Sit down!" Yang Jinghe saw Director Ma of the Nursing Department standing up and trying to leave, so he immediately scolded her in a deep voice, "Wait for the results. Before the results come out, dare you step out of the office?"

Hey!
Even Luo Hao exclaimed in his heart that Yang Jinghe was indeed ruthless and domineering. He scolded Director Ma of the Nursing Department without giving any explanation.

That kind of brutality is already an undisguised unreasonableness.

No one doubted that if Director Ma of the Nursing Department took a step out of the office, Yang Jinghe would turn hostile and kick her to the ground.

A mentally ill patient? What can Director Ma of the Nursing Department do to Yang Jinghe?

Director Ma of the Nursing Department sat down feeling aggrieved, trying hard not to cry.

When she meets a tough guy, she immediately becomes timid, and her usual bullying attitude disappears completely.

"Xiao Luo, do you want the nurse to draw blood or do you want to do it yourself?"

"Chen Yong, you go." Luo Hao ordered.

"Okay, what blood?"

"Arterial blood, use a blood gas needle to collect it, and send it directly to the laboratory after collection. Centrifuge it as quickly as possible to get the results. I'll wait."

Chen Yong didn't say "no", turned around and went out, and started to talk busily.

"Xiao Luo, tell me what happened." Yang Jinghe's expression was calm. It was as if the incident of "scolding" Director Ma of the Nursing Department just now had never happened to him. He began to be curious about Luo Hao's operation.

"That's right." Luo Hao stood up, walked to the blackboard in the office, turned his position and faced Yang Jinghe.

Yang Jinghe leaned back, with her entire weight pressed on the chair, which made a creaking sound.

"False hyperkalemia caused by leukocytosis is a phenomenon of pseudo-electrolyte disorder. Patients often show elevated serum potassium ion content while plasma potassium ion is normal or decreased and there is no corresponding hyperkalemia etiology, clinical manifestations or electrocardiogram changes. No treatment is required."

"I didn't put the patient on ECG monitoring just now, but when I was chatting with the patient, he was not in a state of general fatigue. I touched the radial artery and did not find any arrhythmia from the pulse."

“Therefore, there is a high possibility that leukocytosis causes false increase in blood potassium.”

Luo Hao was like a science and engineering guy, writing on the blackboard and explaining things one by one.

At the beginning, there was whispering in the office.

But as Luo Hao said one, two, three, four, five, his voice gradually became lower, and finally there was silence.

Yang Jinghe sat up straight without knowing when, staring at the writing on the blackboard.

"The reasons for the false increase in blood potassium caused by leukocytosis are mainly divided into two aspects: on the one hand, it is believed that during the blood coagulation process, white blood cells are destroyed, resulting in the release of potassium ions inside the cells to the outside of the cells..."

"on the other hand……"

"If a false increase in blood potassium is found clinically, similar to that caused by leukocytosis, venous blood should be collected first and sent to the laboratory for centrifugation. However, if the result is still positive, arterial blood should be collected and sent for rapid testing."

Luo Hao explained the reason from beginning to end.

Ten minutes later, the phone rang. Luo Hao answered the call and turned on the speakerphone.

"Luo Hao, blood potassium is 4.2!"

Chen Yong's voice came from the phone.

"Okay." Luo Hao smiled and turned off his phone.

"That's about it. If I encounter a similar patient in the future..."

Luo Hao then started talking from the perspectives of prevention, diagnosis and treatment.

He was not verbose, but concise and full of practical information. At first, the radiation oncologists were disdainful, but after hearing this, they all took up their pens to record Luo Hao's blackboard writing.

After listening to this, Yang Jinghe sighed deeply in his heart.

I was right to be cautious!

It seems that Luo Hao's behavior is illogical, but that's because his level is not high enough and he doesn't understand some rare situations deeply enough.

In clinical practice, when in doubt, there is rheumatism and immunology.

Yang Jinghe knew very well what Director Shen of the Rheumatology and Immunology Department's attitude towards Luo Hao was.

He kept calling me "Little Master Uncle" and even if I didn't have diabetes I would have ketoacidosis.

It seems that there is really no love or hatred without reason in this world. Anyone who can make Director Shen lick his boots must be very strong.

Yang Jinghe changed his mind and a smile of admiration appeared on her face.

"Ronaldo, awesome!"

"You're welcome." Luo Hao smiled, "Let's transfer the patient to the ICU. Once hyperkalemia is ruled out, the ICU can give symptomatic treatment. There's no need to come to our department."

Director Ma of the Nursing Department sat in his chair in a daze, staring at the clear and neatly written words on the blackboard.

She didn't fully understand what Luo Hao said, but Director Ma of the Nursing Department knew only one thing - what Luo Hao said made sense.

"Change major." Yang Jinghe turned around and made arrangements.

There was no more dissenting opinion in the office.

Luo Hao smiled, sat down and started looking at the medical records of other patients.

"Xiao Luo, you have X-ray vision, so how do you know that the patient has a problem?" Yang Jinghe asked with a smile.

"Old Yang, this is a routine operation of our Union Hospital. There is nothing surprising about it." Luo Hao replied calmly.

"What? Routine operation?"

"Patients suspected of hyperkalemia need to have blood drawn for re-examination. If there are no signs of hyperkalemia, arterial blood needs to be drawn." Luo Hao looked at the screen and said calmly.

"!!!"

Yang Jinghe was stunned.

"We have received so many similar patients that we have formed a habit. It's okay. When we encounter one, we will remember it and we will know how to deal with it next time." Luo Hao said calmly.

Meng Liangren sat in the corner with an expressionless face, quietly watching Luo Hao "show off".

This is something Chen Yong always shouts about, but Meng Liangren and Chen Yong think differently.

Isn't this normal?
Otherwise, why would Peking Union Medical College Hospital, which is the best in the country, be the best in the country? Professor Luo is just stating a fact.

Director Ma of the Nursing Department stood up quietly and prepared to leave dejectedly.

"Dong Dong Dong~" Yang Jinghe caught a glimpse of Director Ma from the Nursing Department and knocked on the table. "Director Ma, did I let you go? You just left like that. Aren't you being too disrespectful to me?"

"..."

Director Ma of the Nursing Department froze for a moment, and she turned around and grinned.

"The consultation is over. I learned a lot and I'm thinking about taking the time to go back and digest it."

"Did you treat what I just said as a dog's fart?" Yang Jinghe sat on the chair, looking at Director Ma of the Nursing Department with a carefree face and cold eyes.

Director Ma shuddered when Yang Jinghe looked at him.

"Come here, Director Ma, I have something to tell you."

Director Ma from the Nursing Department came up to Yang Jinghe obediently.

Yang Jinghe's expression was serious and he didn't even give Director Ma a chance to joke. Director Ma was also quite helpless.

What else could she do? She could only stand obediently in front of Yang Jinghe, just like the little nurse she had scolded, and ask for whatever he wanted.

"First, don't come to our department anymore. We have a head nurse who manages the nurses in our department. You are the head nurse of the nursing department, who act like a tyrant all day long. What kind of person are you?"

"..."

Director Ma of the Nursing Department shuddered.

Yang Jinghe pointed at her nose and cursed, and she subconsciously wanted to retort.

But when his eyes fell on Yang Jing and her dark and strong body like an iron tower, Director Ma of the Nursing Department suddenly closed his thin lips tightly.

"You come to my department and scold my young nurse. Where do you put me, the administrative director of the radiotherapy department? Do you want me to teach you? You know nothing!"

"Why, you're still not convinced? This is the radiotherapy department, I'm the director, I have the final say in my territory! If I see you yelling and yelling in my department again, and scolding our nurses, I'll break your legs, believe it or not."

“……” Director Ma of the Nursing Department was speechless.

provocative?

She didn't dare at all.

Everyone knew what kind of reputation Yang Jinghe had in the hospital, and Director Ma of the Nursing Department believed and firmly believed that if he dared to talk back in front of all the medical staff in the radiotherapy department, he would be slapped in the face in the next second.

Breaking your own legs should be impossible, but a few beatings in the ass are inevitable.

If it really gets to that extent, how will I face people?

Director Ma from the Nursing Department bit her lower lip and tried hard not to cry.

"What the hell, you are just a nobody? Do you think you can scold my little nurse? Head nurse!" Yang Jinghe became more and more stern as he spoke, his voice low and deep, like a hammer.

"Director." The head nurse stepped out on tiptoe.

"From now on, no matter who is in the nursing department, if they dare to scold you, even if you didn't do some bullshit they asked of you, just tell me directly." Yang Jinghe looked at Director Ma of the nursing department, "I'm going to raid their nursing department's house!"

The head nurse didn't dare to respond.

"Crack~~~"

Yang Jinghe picked up the A4 paper on the table and threw it over.

"I'm talking to you, are you fucking deaf? You wimp."

"Yes, yes, Director, please don't be angry."

The head nurse didn't dare to say anything and could only respond.

"Director Ma, if you dare to make trouble for my people behind their backs, you can try." Yang Jinghe tapped the table with one hand, making a thumping sound. "I, Old Yang, have gotten older in recent years and my temper has improved. Do you think you can ride on my head and pee on me?"

“……” Director Ma of the Nursing Department was speechless.

"If you want, you can give it a try to see if you are more lucky or if I, Old Yang, am more powerful."

Director Ma from the Nursing Department couldn't hold back her tears.

"roll!"

The sound was like spring thunder, rolling in.

Director Ma of the Nursing Department was stunned for a moment, then turned around and fled.

"Come back." Yang Jinghe scolded as if he was training a dog.

Director Ma of the Nursing Department froze like a puppet and burst into tears.

"Don't you know to say goodbye when you leave? Do you have any problem with me? Or are you just born without manners?" Yang Jinghe scolded coldly.

"Director Yang, I'm leaving. Thank you for your teachings. I've remembered them all." Director Ma of the Nursing Department turned around, bowed, tears streaming down her face.

"Go away." Yang Jinghe waved his hand as if he was chasing away a fly, and drove away Director Ma of the Nursing Department.

The room was silent, and then a "click" sound broke the silence.

The mouse in Luo Hao's hand clicked gently, making a clicking sound.

"Head nurse, if the nursing department makes things difficult for you in the future, come to me." Yang Jinghe warned.

"Ah."

The head nurse squeezed out a sound from her nose.

She was a little confused, wondering if Director Yang had taken the wrong medicine today or what, and he actually scolded Director Ma.

Especially the pulling and tug-of-war at the end made Director Ma of the Nursing Department lose face. This has deviated from the normal regulations and procedures of the hospital.

Yang Jinghe didn't say anything else, and Luo Hao soon found another patient.

An hour and a half later, Luo Hao screened the patients, checked the wards, set the operation time, and then returned to the director's office with Yang Jinghe.

"Old Yang, you seem a little hot-tempered today." Luo Hao looked at Yang Jinghe and said with a smile.

"I can't stand her." Yang Jinghe did not do any favors, but took all the blame on herself and said it had nothing to do with Luo Hao.

Yang Jing and this guy are both single, which makes Luo Hao admire him even more.

"What's the matter?" Luo Hao looked at Yang Jinghe with a smile, and sat directly on the bed in the duty room. He leaned back and supported himself on the bed with his hands, looking a little lazy and casual.

"Xiao Luo, let me ask you, have you ever seen a good person in the nursing department?"

Luo Hao smiled and said, "Xiehe doesn't know. I was still young at that time, and no one told me these gossips. The nursing department of Donglian Mine is really not good. There are problems with everyone."

"To be frank, anyone who becomes the director of the nursing department has problems! This is a high probability situation."

"Oh?"

"Just think about it, if you have a powerful family, who would be willing to do this kind of crappy job? There's not much money and it's a lot of work."

Luo Hao smiled and listened quietly.

"Director Ma, when he was young, he was cunning. When he was in special care for the old dean, he washed his feet. When his sister-in-law saw him, she kicked over the foot basin and scolded him."

"Tsk tsk." Luo Hao sighed. No wonder Yang Jinghe had a specific meaning when he said Director Ma of the Nursing Department was a foot washer girl.

"But even though she was scolded, she still had the energy to get things done, and I was very convinced. Not long after, she pushed the old dean out. She seemed to be only 22 years old that year.

After that, I became the youngest head nurse in the hospital, and then the youngest director of the nursing department in the hospital."

"But things are different after the old dean retired. After all, they are the old dean's people. Dean Zhuang back then...hahaha, let's not talk about this."

Yang Jinghe laughed.

He may gossip, but he knows his limits. He won't gossip about Dean Zhuang.

"There is always a director of the nursing department at Donglian Mine who has a similar path to Director Ma. She was also a nurse, head nurse, and director of the nursing department, but her path was smoother. She became the vice president and supervisor..."

Before Luo Hao finished speaking, Yang Jinghe took over the conversation, "Is it the one whose body was dismembered a few years ago?"

"Yeah." Luo Hao nodded.

Yang Jinghe suddenly became interested. "I heard that it was her gigolo who did it. What's going on?"

"I also heard that she was pregnant at the time and didn't want the baby, but the gigolo did, so they had a quarrel over it. Vice President Xue found an obstetrician who was familiar with her to perform the abortion, and after the operation, he gave the bag of abortion products to the gigolo."

"Fuck, this guy is sick."

Even Yang Jinghe sighed and said that this person was indeed sick.

Let the miscarriage happen, and send the miscarriage products to the pretty boy to irritate his nerves.

She really treats the gigolo she keeps as a mistress as if he is not a human being.

"Maybe he's used to being high and mighty, having everything under control, so he wants to show the pretty boy how powerful he is." Luo Hao shook his head. "I'm just guessing, don't take it seriously, Old Yang."

"Oh, it should be." Yang Jinghe said, "If you keep someone, they won't have an independent personality. If they do, wouldn't it be a love offering? So show him how powerful he is and tell him to stop talking nonsense and just serve me well in bed."

"The pretty boy went crazy after seeing this and stabbed her more than a hundred times that night. But the funny thing is that Vice President Xue hasn't been to work for half a month, but the hospital didn't care. It didn't matter whether she was there or not."

"Hahaha." Yang Jinghe laughed. "Leaders are almost all like this. A few years ago, the boss and middle managers of a small company in the provincial capital all ran away. The remaining dozen or so employees figured out that since there were still orders, they did the work themselves. It is said that the profit increased several times."

Luo Hao smiled and looked at Yang Jinghe.

"I've always disliked her. Let me tell you, why is the nursing department so mean to nurses? I finally got promoted to an official position. If I don't scold you, wouldn't I have been slept with by those old men for nothing? I guess they all think so in their hearts."

Luo Hao was amused by Yang Jinghe's straightforward words, but when he thought about it carefully, this was indeed the logic.

"Usually I'm too lazy to pay attention to them, just say hello when we meet. Today, it's a consultation, and she has the right to speak? What a joke." Yang Jinghe said calmly, without mentioning the fact that Luo Hao threw dirty water on her.

"Old Yang, awesome!" Luo Hao stretched out his hand and gave a thumbs up.

"Oh, let's not talk about this. The patient has been confirmed. When do you have time?"

"The day after tomorrow."

"Okay." Yang Jinghe said, "By the way, I've already put in the order for the CT scan for particle implantation."

“?!” Luo Hao was stunned.

So fast? Luo Hao hesitated.

Although Luo Hao didn't know how many tricks were involved in equipment procurement and bidding, he knew that there must be something wrong.

The water is deep here, so avoid contact if possible.

Seeing Luo Hao pondering, Yang Jinghe smiled and said, "Don't worry, it has nothing to do with you. Dean Zhuang is in charge of this matter, and no one else can interfere."

"Oh, that's fine."

"I just want a CT and give Dean Zhuang a reason. We are all doing business, and it is impossible for Dean Zhuang not to approve it. Don't worry, the rules and procedures are formal, and the procurement is conducted through bidding. As for any more tricks, it has nothing to do with you and me."

"We need to increase the number of surgeries." Luo Hao frowned, "Old Yang, can you do it together? Or should I find someone to help me?"

Yang Jinghe felt relieved, he knew very well that Luo Hao was returning the favor.

"Let me do it. I don't trust the others."

Luo Hao nodded.

The two talked for a few more words and Luo Hao left Yang Jinghe's office.

After going out, Luo Hao saw Chen Yong lying on the head nurse's table and chatting with the nurse excitedly.

"Let's go." Luo Hao said.

"I'm leaving first. We'll talk again when we have time." Chen Yong waved his hand.

Yang Jinghe sent Luo Hao, Chen Yong and Meng Liangren to the door, watched their figures disappear, and then slowly turned around.

"Director." The head nurse stood beside Yang Jinghe very stiffly and said in a low voice.

"Well, today's matter is no joke. If you are bullied, tell me." Yang Jinghe said, "No matter if she is right or wrong, if she dares to bully my people, I will go to her and ask for an explanation."

"Director, this... this... is not good."

"Don't worry, she doesn't have the courage. This matter will most likely pass, and our department will be quiet for a while. But quiet is quiet, so don't ignore medical safety. If something goes wrong..." Yang Jinghe looked at the head nurse deeply.

"Don't worry, Director."

Yang Jinghe smiled and slowly returned to the director's office with his hands behind his back.

……

"Luo Hao, did Director Yang take medicine today? Why is he so fierce?" Chen Yong asked with a beaming eyebrow.

"I see you are quite familiar with Director Ma." Luo Hao did not answer Chen Yong's question, but asked a question in return.

"It's all because of you! If it weren't for you, do you think I would be willing to chat with her?" Chen Yong curled his lips and said disdainfully, "Director Yang is pretty good. I like him more and more."

Returning to the ward, Luo Hao saw Director Shen of the Rheumatology and Immunology Department standing under the photo and admiring it carefully.

"Hello, Director Shen." Luo Hao greeted politely.

"Master Junior, you're back!" Director Shen said respectfully, "Can you feed giant pandas?"

(End of this chapter)