White armor

Chapter 240 Economy Class Syndrome
"You kid, say something auspicious." Daju's mother was unhappy, her face gloomy, "You haven't finished the confinement yet, Daju can't move, this is our home, Yiyi and you too, you insist on me..."

Liu Yiyi ignored what Daju's mother said and directly connected the video.

"Professor Luo, take a look. It's non-pitting edema, the skin is obviously red, and it's accompanied by elevated skin temperature, and there are blisters. It's lower extremity venous thrombosis, is it okay?"

"Yes, come quickly, I'll arrange for emergency surgery." Luo Hao took a look and answered hurriedly in a low voice.

"He's dead." Liu Yiyi's face also sank. She took off her flowery hat and stuffed it into her pocket. She turned around and picked up Daju, gently carried him to the stretcher.

The stretcher-bearer smacked his lips.

Mr. Liu picked up a man weighing 140 to 150 kilograms in one hand, and his posture was very awkward.

If it were them, both of them would have to work hard.

This core strength is really amazing.

"Auntie, get out of the way, or else the person will die and the paper money won't be able to burn through." Liu Yiyi said, looking at Daju, "Trust me, go to the hospital."

The scene was awkward for a while.

The Daju family was at a loss. Liu Yiyi was so strong, as strong as a rock, hard and banging, and she hit them until their heads were covered in blood.

Death seems to be an extremely distant thing.

But once someone insists, from far to near, it becomes real yet vague.

Liu Yiyi shook her head and bit her hair. Her white teeth and black hair rushed over like a refreshing wave.

"Make way." Liu Yiyi carried the stretcher in front of her, not caring whether the other party agreed or not. She used her shoulder to push Daju's mother away and walked to the door in everyone's stunned eyes.

When Liu Yiyi was about to leave, she paused and said, "Aunt, please look after the child. Let Uncle get in the ambulance with you."

Daju's mother was at a loss, the child was still crying, she hurriedly took the child from Daju's father. Daju's father whispered a few words, followed Liu Yiyi and the emergency doctor into the elevator.

"Yiyi, I know you mean well. Are you planning to go out and play?" Daju's father got on the elevator and asked with a smile, as if he saw through everything.

Liu Yiyi was stunned.

"Oh, I've tried to persuade her many times, but your aunt insisted that she had a cold during childbirth when she was young, and now she's suffering. No matter what I say, it's useless, she insists that it was caused by that time."

"..."

"I support you. Don't rush around. Take it step by step. The weather is really good today. God bless you." Daju's father smiled and patted Liu Yiyi on the head. "Your acting is not bad. I was almost fooled by you."

Liu Yiyi didn't explain, but the fierceness in her eyes eased a little and became gentler.

When he went out, Daju's father saw the 120 ambulance and was stunned.

what is this?
Are they acting out a full-on drama? Or are they really sick? Or maybe these two kids got sick from playing so much.

impossible.

Countless question marks arose in his mind.

"Uncle, come up. You may need emergency surgery when you get to the hospital." Mr. Ma heaved a sigh of relief after Liu Yiyi got into the car. She spit out her hair and said softly.

"Yiyi, don't scare me."

"Why would I scare you!" Liu Yiyi scolded, "How many times have I told you to move around? You're lazy normally, and even lazier after having a baby. Your mother doesn't let you move, but you really don't move at all?! You're so lazy!"

"I don't know how..." Daju was still a little confused.

"Look at your legs, what's wrong with them!" Liu Yiyi wanted to say something harsher, but she took the words back.

"Just... fat. Oh, and there's also postpartum edema and stuff. I looked it up on the app, and it's all normal."

Liu Yiyi did not continue explaining to Daju, but called Luo Hao.

If you encounter any problems, you must communicate with Luo Hao.

Knowing that Luo Hao had arrived at the emergency room, Liu Yiyi finally felt relieved.

Although I haven't had much contact with him, I don't know when the name Luo Hao started to mean "safety".

Whether it was surgery or diagnosis, people who had already walked onto the Naihe Bridge were pulled back by Luo Hao. The process was clean and efficient, without any mistakes.

So this time Luo Hao "made a fuss out of nothing", and Liu Yiyi directly asked for leave. She was only slightly confused for a moment before she came to her senses.

Professor Luo is now in the emergency department. I think the boss of vascular surgery has arrived. Vascular color Doppler has been arranged in the emergency room. Even the nurses and technicians who are working overtime in the interventional catheter room are on their way, ready to add more equipment.

If it were someone else, Mr. Ma and Liu Yiyi would not be so determined, but he is Luo Hao.

He is Luo Hao!

When Liu Yiyi thought of Luo Hao, a ray of light appeared in her heart. Although it was weak, it gave her infinite confidence.

Then Liu Yiyi opened the small iron plate between her and the driver's seat and asked the driver to sound the siren and return to the hospital at full speed.

Daju and her father fell silent until the shrill sound of the flute was heard.

This is not a joke!

Liu Yiyi had nothing to do, so she started to roll up her hair and put it into a small flower hat, wearing the hat straight.

"Mr. Liu, why do your anesthesiologists like the little flower hats?" asked the emergency 120 surgeon.

"You know what word we hate the most?"

"what?"

"Anesthesiologist, not anesthesiologist!" Liu Yiyi tilted her head, and the lines of her sternocleidomastoid muscle bulged as if accumulating strength.

"Oh, look at you."

"The shadowless lamp in the operating room is too bright. My eyes get blurry after looking at it for a long time. More colors would help reduce the risk of accidents." Liu Yiyi didn't give the man a big slap directly, but leaned back in the chair and closed her eyes.

The situation is a hundred times more serious than what Daju said.

A few years ago, a reporter sprained his ankle and died 12 days later. He died of pulmonary embolism caused by the detachment of blood clots in the lower limb veins.

Generally, this emergency occurs as a follow-up to muscular diseases such as fractures and sprains, but it is most common in pregnant women.

Damn "confinement period"!
Although Daju had no autonomic symptoms, pulmonary embolism has no relation to autonomic or involuntary symptoms. Once the disease occurs, just as Luo Hao and Chen Yong said, the person will be cold when he wakes up the next morning.

The 120 ambulance can give Liu Yiyi a little sense of security, but not much. More sense of security and confidence comes from Luo Hao.

Soon, the 120 ambulance arrived at the emergency department of the First Hospital of Medical University.

The 120 ambulance picked up the patient from another district and arrived at the fastest speed, blaring sirens along the way, the sound shattering the silence of the night.

"This, this, this~" Luo Hao was wearing white clothes and standing at the door. There was a flatbed cart beside him. Chen Yong and Meng Liangren were also there.

Liu Yiyi was a little dazed.

It seemed that Luo Hao's medical team was always together. Even in the middle of the night, the three of them were there.

After the person was transferred to the stretcher, Meng Liangren pushed the stretcher skillfully and trotted into the emergency ultrasound room.

The probe of the vascular color Doppler was gently pressed on Daju's leg. Luo Hao frowned and kept saying some simple words.

Ordinary people can’t understand it, but Liu Yiyi and other doctors can probably understand it a little.

This is not standard communication in B-ultrasound, but comes from the familiarity and tacit understanding within the medical team.

The communication resistance within Luo Hao's medical team was so small that it was almost negligible. Chen Yong had already started drawing blood without calling the nurse. After the blood was drawn, he took his medical insurance card to get a prescription and delivered the blood himself.

Meng Liangren held an A4 paper in his left hand and a ballpoint pen in his right hand. The pen seemed to have his name on it. He was recording every word Luo Hao said.

The reason why Luo Hao spoke little and slowly was because he wanted to take Meng Liangren's writing speed into consideration.

It's not shorthand, but Luo Hao has achieved a delicate balance in another way.

The entire consultation process was full of details, and Liu Yiyi was stunned.

She is the chief maternal and infant doctor in the operating room. She has been involved in countless emergency cases. Every time there was a lot of screams and shouts.
Even so, there are still many mistakes, which gives people a very unprofessional feeling.

Even though Liu Yiyi herself has experienced countless emergency rescues, there are only a handful of rescue procedures that she can really show off that are like textbooks.

Sometimes Liu Yiyi feels that this world is really just a makeshift team, and it only needs to be a little more professional.

But when Liu Yiyi saw the meticulous diagnosis and treatment process of Luo Hao's medical team, which was textbook-like and even beyond textbooks, she was ashamed.

"Bilateral lower limb venous thrombosis, emergency surgery, the patient's family is here, right?" Luo Hao asked.

"coming."

"Liu Yiyi, you are responsible for the preoperative signature. Please ask the chief resident of the vascular department for the signature."

After saying that, Luo Hao threw the probe to the doctor in the ultrasound room and grabbed a handful of tissues and threw them on Daju's legs.

Liu Yiyi sighed.

Wipe it yourself. This is a dirty joke that occasionally appears during surgery.

But now that I have experienced it myself, I find that Luo Hao really has no time.

Luo Hao had already pulled up the flatbed cart and started running towards the elevator.

"Big Orange, are you having trouble breathing?"

"What?" Daju was at a loss, and it was obvious that she was no longer thinking.

"Breathing, can you catch your breath?" Liu Yiyi asked in a different way.

"I always have trouble breathing after I gain weight."

Gan!
To the north!
Liu Yiyi cursed in her heart.

After getting off the elevator, the door of the interventional catheterization room was wide open. Technician No. 66 had just opened the door and saw nurses inside busy preparing surgical items.

Everything is in order.

After sending the patient to the interventional catheterization room and lifting him onto the operating table, Liu Yiyi finally breathed a sigh of relief.

She habitually moved a stool and sat next to Daju's head.

But the next second, Liu Yiyi felt a sharp gaze falling on her as if it were real.

Luo Hao!

He is glaring at himself!
Liu Yiyi was about to glare back out of habit, but in a flash she remembered that Luo Hao had assigned her a task.

When arranging tasks, Professor Luo Haoluo didn't even politely call himself Mr. Ma or Mr. Liu, but Liu Yiyi.

It was as if I was a member of his medical team.

"Brush~~~"

Liu Yiyi felt her face turn red all of a sudden. It turned out that she was the most unprofessional and the most shoddy member of the team.

She immediately stood up and walked out quickly, "Professor Luo, I'm going to explain to the patient's family. President Wang, give me a copy of the preoperative instructions."

After leaving the interventional catheterization room, Liu Yiyi took a deep breath. "Uncle, Daju is already on stage. The best interventional doctor from our Medical University will perform the operation." Liu Yiyi puffed out her chest and said firmly.

When talking about the best interventional doctor, Liu Yiyi even felt a sense of pride in her heart.

But Daju's father and the mother who had just arrived seemed a little dazed, as if they were dreaming.

"Let me tell you the situation first." Liu Yiyi briefly recounted the relevant events.

But she used too many professional terms to explain the illness, and Daju's parents obviously didn't even hear half of it and were confused.

Liu Yiyi didn't think anything of it. She was waiting for the vascular department's resident manager to give her the preoperative instructions.

A few minutes later.

Liu Yiyi saw Chen Yong running in, and a kind and majestic voice came from behind him.

"Boss Liu, let me give the patient's family a preoperative briefing."

It’s Meng Liangren!

The one in the medical team who couldn't even get on the operating table and could only follow Professor Luo Haoluo around to pick up the lead vest.

Liu Yiyi was slightly dissatisfied.

But now the roles and identities are reversed, and Daju's parents are no longer the best friend's parents, but the patient's family members.

So Liu Yiyi didn't say anything and didn't offend Meng Liangren.

"You two are the parents of the patient Zhao Liju, right?"

"Yes, yes, yes." Daju's father nodded quickly.

Meng Liangren said "you", but it inexplicably gave people a condescending feeling.

But this condescending attitude does not come from attitude, but from professionalism, and... and his facial features, micro-expressions, and subtle movements.

Meng Liangren has regular facial features, just like Chen Peisi and Zhu Shimao standing together.

At first glance, he is a good person in the standard sense, a decent person.

"The patient's condition is very serious. Let me just say a few words." Meng Liangren began to speak briefly, as if he were a leader sitting on the rostrum during a meeting.

……

In the operating room, Daju asked blankly, "Doctor, what's wrong with me?"

"Economy class syndrome." Luo Hao explained to Daju in the operating room.

"Economy class syndrome." Meng Liangren explained to Daju's parents outside the operating room.

"what?"

"Economy class syndrome refers to sitting still for a long time in a small space with restricted movement, which slows down the venous return in the lower limbs and causes blood stasis, leading to deep vein thrombosis or pulmonary embolism in the lower limbs. In severe cases, it can lead to sudden death." Luo Hao continued to explain.

"'Economy class syndrome' refers to sitting still for a long time in a small space with restricted movement, which slows down the venous return in the lower limbs and causes blood stasis, leading to deep vein thrombosis or pulmonary embolism in the lower limbs. In severe cases, it can lead to sudden death." Meng Liangren explained to Daju's parents outside.

"The recent trend of college student special forces soldiers taking long car and plane rides has led to three similar cases across the country," said Luo Hao.

"The recent trend of college student special forces soldiers taking long car and plane rides has led to three similar cases across the country," said Meng Liangren.

At the same time but in different places, Luo Hao and Meng Liangren said almost the same words, as if they were a replica.

The empty valley echoes and buzzes.

"Nationwide? How do you know?" Daju immediately found the problem.

"I graduated from Union Medical College, and my classmates and seniors are almost all over the country. Most of them are department heads. We have a WeChat chat group."

Luo Hao invited the chief resident of the vascular surgery department to come on stage, and he stood in the assistant's position.

Daju was at a loss.

"If you don't move for a long time, blood clots will form in the veins of your lower extremities. In 18, a reporter from a daily newspaper died suddenly after spraining his ankle. Do you remember that? It was a hot topic at the time."

"I remember." Daju nodded blankly.

"Just like you, we both suffer from economy class syndrome." Luo Hao said.

"From the young female reporter's injury experience, after she sprained her ankle, soft tissue swelling and intense pain extended from the sprained ankle to the calf, and numbness appeared in the toes. Such symptoms indicate that her injured lower limb is very likely to have deep vein thrombosis in the lower limb.

Many people ignore this symptom, thinking it is just a normal reaction to a sprain, but they don’t realize that this is a fatal negligence.

If there is no timely intervention and treatment, the blood clot in the calf is likely to break off, fall to the heart, enter the pulmonary circulation, block the pulmonary artery, cause respiratory and circulatory failure, and in severe cases, cause sudden death. "

"Sprains, fractures, economy class, these are high-risk factors, but they are not the highest incidence of these diseases."

“Pregnant women are the group that benefits the most.”

"During pregnancy, the uterus becomes larger and compresses the veins in the abdomen, resulting in obstruction of blood return and causing varicose veins in the lower limbs and pelvis.

In addition, under the action of progesterone, the coagulation factors in the blood increase and become viscous, which can easily form blood clots in the pelvic or lower limb veins, leading to pulmonary embolism.

During pregnancy, the blood is in a physiologically hypercoagulable state. After childbirth, whether it is a natural birth or a caesarean section, the body will activate the coagulation mechanism to inhibit postpartum hemorrhage. Coupled with postpartum bed rest, the chance of causing pulmonary embolism will increase significantly. "

"As for you."

"Not getting out of bed or exercising for a month during confinement is simply nonsense!" Luo Hao scolded sternly.

"Not getting out of bed or moving around for a month during confinement is simply nonsense!" Meng Liangren said in a stern and low voice, with a majestic look on his face.

Daju's parents were sweating profusely.

They seemed to understand what was said about the economy class syndrome, but Meng Liangren gave them a kind of pressure that was so great that they couldn't breathe.

"Fortunately, when the patient was chatting with Mr. Liu, he said that he felt like a paraplegic when he walked out of the bed today. Mr. Liu felt something was wrong and consulted our Professor Luo." Meng Liangren has thick eyebrows, big eyes, a square face, and is full of pressure.

Under the rebuke of such a great and glorious expression, facial features, words and attitude, not only Daju's parents, but even Liu Yiyi felt like a villain.

"The patient is in a very dangerous condition now. We'll do an surgical angiography. If we're lucky, the blood clot can be dissolved and his life can be saved. If we're unlucky... we'll do our best." Meng Liangren said with a firm tone.

"Wow~~~" Daju's mother burst into tears.

After a few minutes of communication, Meng Liangren had completely taken the upper hand, seized all the initiative, and gained the trust of the patient's family, turning them from indifference to panic.

As the chief surgeon, Liu Yiyi has seen many people give emergency surgery preoperative briefings, and she has done it many times herself.

But Meng Liangren’s explanation…seems to be different.

He started by telling a "gossip", then pressed forward step by step, and with the help of Meng Liangren's unique appearance, he quickly took the initiative.

Is this a very clever PUA method?
Liu Yiyi was a little confused.

Unconsciously, Daju's parents and themselves were all pua'd by the dog that was bootlicking around Luo Hao.

Although it is hard to believe, Liu Yiyi still thinks so.

"The operation is about to begin. Please sign." Meng Liangren did not "sympathize" with Daju's parents, but pressed the signature sheet on the table. "The risk of the patient's death is very high. We will do our best."

"Don't worry, you two are Mr. Liu's friends, and we are also Mr. Liu's friends. We will definitely do our best."

Meng Liangren then briefly talked about the contents of the preoperative informed consent form, which was countless times simpler and more sloppy than chatting with the patient's family about "economy class syndrome."

Daju's father's hands were shaking, as if Parkinson's disease had suddenly descended upon him.

He signed with tears streaming down his face.

After getting the signed form, Meng Liangren stood up, raised his hand and gently patted Daju's father on the shoulder to comfort him.

Then he looked at Liu Yiyi calmly and turned back to the interventional catheterization room.

Liu Yiyi had no time to comfort Daju's parents. She was shocked by Meng Liangren's professional preoperative instructions. She kept replaying the entire process of Meng Liangren's preoperative instructions in her mind, down to every detail.

It’s not what Meng Liangren said, but he matched his image and made at least 10 psychological hints in just a few minutes of counting money.

This is fucking pua, typical pua!

Liu Yiyi finally confirmed this.

Professor Luo Haoluo's medical team is full of scoundrels, there is not a single good person! Liu Yiyi cursed in her heart.

She followed him into the operating room and hastily put on a lead coat and entered the operating room.

"It's out, it's out." The cheers of the resident chief of the vascular surgery department made Liu Yiyi a little distracted.

The last second, Meng Liangren said that he had to sign, otherwise the surgery could not be performed.

The next second, what happened?
After a closer look, Luo Hao pulled out the thrombectomy catheter, and a blood clot about 5 cm long was pulled out tremblingly.

The blood clot, which was more tender than tofu, was removed intact.

Incredible skills.

Liu Yiyi was stunned.

"And, continue." Luo Hao knocked on the resident chief medical officer of the vascular department with the hemostatic forceps in his hand, and then started the operation again.

"Mr. Liu, please come out. You are in menopause. Stop eating wires." Chen Yong's voice came from the loudspeaker.

Liu Yiyi glared at Chen Yong fiercely through the leaded glass.

After removing the blood clot, Luo Hao continued to lower the tube and did not step on the line for the time being.

Chen Yong kicked open the airtight lead door, walked in, took off his lead hat and put it on Liu Yiyi's head.

"The little flower hat is so cool. I can't stand the little flower hats you anesthesiologists wear." Chen Yong said disdainfully while putting a lead hat on Liu Yiyi.

"If you can't stand it, then don't go to the operating room for the rest of your life." Liu Yiyi retorted.

"Sizzle~" Chen Yong tore off the lead scarf and put it on Liu Yiyi, "Can your little body withstand it?"

"Stab~"

The lead skirt was torn open, and Chen Yong tied it up for Liu Yiyi.

Liu Yiyi's waist is very thin, and when pinched, it barely hangs on her hips.

"Are your national first-class athletes in such good shape?" Chen Yong asked jokingly.

"Damn it, so much nonsense!"

"I advise you to learn your lesson. You will lose your friends if you talk like that." Chen Yong tied the lead skirt on with great difficulty and gently pulled it down. Seeing that the lead skirt did not fall off, he straightened his back with satisfaction.

Luo Hao had been watching this scene out of the corner of his eye. Although Chen Yong talked a lot, he acted quickly and did not delay at all.

After Chen Yong put on the heavy armor for Liu Yiyi, he immediately turned around and left the operating room and closed the door.

"Angiography."

(End of this chapter)