White armor

Chapter 25: Thieves and thieves

"Director Guohua, that's it." Luo Hao began to explain to Wang Guohua some of the difficulties in removing stones from the Nets.

After all, Wang Guohua has been doing surgery all his life and has personally experienced many rare situations. The questions he raised were extremely tricky and hit the mark.

But this does not trouble Luo Hao.

Surgery level 4 has reached the sub-provincial level. Whether it is surgical or interventional surgery, there are only a handful of people in the province who can perform better than Luo Hao.

In addition, there are all kinds of documents in the system library, and Luo Hao is also practical and willing to learn. Whether it is technical techniques or theoretical foundation, Luo Hao has no flaws.

Therefore, the question raised by Wang Guohua is just a "simple question" in Luo Hao's view.

Wang Guohua was immersed in the ERCP surgery and asked about it for nearly two hours before he was satisfied.

"Director Guohua, do you really want to have surgery?" Luo Hao asked.

"why not?"

"Eat the thread, you..."

"Let me tell you something." Wang Guohua said.

Luo Hao listened attentively.

"Have you ever been stationed in an obstetrics and gynecology department? Do you know why they shrink more and more as they work?"

"The fertility rate is declining." Luo Hao's answer was quite satisfactory.

Wang Guohua snorted, "Tell the truth."

Luo Hao scratched his head, smiled and remained silent.

Wang Guohua did not insist on forcing Luo Hao to speak his mind, but said disdainfully, "Many years ago, the group bought a DSA machine for our mine manager. At that time, I told Director Hu of the Department of Obstetrics and Gynecology that their uterine muscles Tumors can be treated with interventional embolization.”

"Before that, uterine fibroids required uterine resection. Interventional embolization surgery can preserve the organs. Although the cure rate is not as high as total uterine resection...fuck!"

As he said this, Wang Guohua cursed.

"The uterus has been removed, so what complications can there be?"

"Director Guohua, you are right." Luo Hao agreed.

Wang Guohua glanced at Luo Hao and continued, "In the end, Director Hu didn't answer the question at all. I know what he was thinking - the interventional surgery was too long, and the difficulty of the surgery was one or two orders of magnitude higher than simply cutting out a uterus."

"He has no intention of learning."

"Now every time we meet, I have to say something bad about Lao Hu. If the old guy doesn't make progress, he will get Alzheimer's disease sooner or later."

"..." Luo Hao was a little surprised when he heard Wang Guohua curse.

Wang Guohua's temper is too hot.

Interventional surgery is on the rise. In fact, the most widely used surgery is circulatory medicine.

The reason for this is the leader.

The doctor who took the lead in performing interventional surgeries back then was an academician of the Academy of Engineering, and there were no academicians in the Department of Obstetrics and Gynecology to perform interventional surgeries.

In addition, there are also interest factors.

Directors of circulatory medicine departments in many hospitals have a monopoly on coronary interventional surgeries, and their spouses have also started selling stents.

One fish eats many, as these front wavers have figured out.

Cardiac surgery was in a miserable state when it gave up on interventional cardiac surgery.

It is said that more than 20 years ago, cardiac surgery was one of the top departments in terms of revenue, just like abroad.But in just a few years, the cardiology department was completely wiped out. Except for provincial hospitals, the cardiology departments in prefectural and municipal hospitals basically disappeared.

"I inquired about it and found out that you can perform interventional embolization and hemostasis surgery for scar pregnancy. You can do it for emergency hemostasis, and you will definitely do it for uterine fibroids. Are you not complaining?"

Wang Guohua looked at Luo Hao and asked.

"I'm just a little doctor. I just have to do my job well." Luo Hao said calmly, "I have no ability to change people who can't be changed even by big waves."

Wang Guohua was silent for 2 seconds and then said, "Now every time Lao Hu sees me, he ridicules me for not doing ERCP surgery. The bitch still has the nerve to talk about me! I will come to do the surgery and see where he puts his old face."

"..."

Luo Hao was a little surprised.

Old children, old children, are you talking about people like Wang Guohua?
They are all retired, but because of some quarrels with old colleagues, they came to the hospital and started learning ERCP surgery from scratch.

Luo Hao couldn't accept this reason.

He is more willing to undergo ERCP surgery, which is the lifelong wish of the old director Wang Guohua.

"Director Guohua, the hospital is very happy that you agreed to re-employ." Lin Yuming said warmly, "You can just take a look at the surgery. If you really wear a lead suit... just in case, I said just in case, if you are exhausted, the hospital Why don't the doctors and nurses inside point at my back and curse?"

"People are very squeamish nowadays, how can a dozen kilograms of lead clothing tire them out?" Wang Guohua scolded disdainfully, "Back then, bile duct stones were a major problem in surgery. Whether it was bile duct incision to remove stones or bile duct removal, If they match, the problems are huge.”

"I thought at that time, it would be great if there was a way to reduce the trauma to the patient and achieve 80-90% of the surgical treatment effect."

"It's like the puncture and solidification of ovarian cysts performed by Dr. Ronaldinho. Although strictly speaking, the recurrence rate is higher than that of deroofing surgery, the damage is almost negligible."

"If it recurs, it will be done again. It's not like surgery. Once something unexpected happens, the surgeon will be very numb."

Wang Guohua said, seeming to recall something, and sighed deeply.

Luo Hao knew very well that an experienced magician like Wang Guohua must have encountered countless problems in his life.

How did you get your rich clinical experience?

To put it bluntly, it is a pile of human lives and patients’ cries.

God knows what Wang Guohua has gone through, and he will still be so obsessed with ERCP surgery in his twilight years.

"Director Guohua, I understand." Luo Hao said softly, "I understood what you meant when I went to the medical record room that day to look up the surgical records you wrote 20 years ago."

Wang Guohua said nothing and tapped his fingers on the table.

Twenty years have passed, and the old man and the young man have communicated through medical records, and now they are sitting together.

Lin Yuming watched from the side, feeling a little strange in his heart.At this moment, although he still doubted Wang Guohua's motives and did not trust the old director, he temporarily forgot all his unhappiness.

The scene before me is a man's romance.

"I will go out to the outpatient clinic in a few days." Wang Guohua said in an unquestionable tone, "We will admit the patient..."

"Director Guohua, I have a dispute here. Do you think you can take action?" Lin Yuming said with a smile.

Wang Guohua raised his eyebrows, "A dispute over our general surgery department? Something went wrong with Youren's surgery?"

The old director of Guohua is rough and heroic, but he is also a good person.

Lin Yuming raised his head and he guessed the truth.

"Director Guohua, that's it." Lin Yuming said, "There is a female patient in one of our subordinate villages who underwent "laparoscopic cholecystectomy, common bile duct lithotomy and T-tube drainage" 4 months ago. If you have any stones remaining after surgery, please report to our medical office.”

Wang Guohua looked at Lin Yuming, his eyes as sharp as a knife.

"Director Guohua, to be honest, you know the level of our hospital. The operation was performed by Director Wen. From my point of view, it has reached the maximum scope of his capabilities. There is no way to help with the residual stones after the operation. .

Originally, I had already solved this matter - I gave in, admitted that our technical level was not enough, and contacted the higher-level hospital for the patient. "

Wang Guohua snorted.

Seeing that Lin Yuming spoke very fairly, he even said a few words for Wen Youren without blaming Wen Youren too much.

But the simpler meaning is clear.

Lin Yuming didn't care about Wang Guohua's attitude. He smiled slightly and continued.

"Director Wen and I both suggested that the patient go to the provincial capital to continue treatment. The patient's family is very poor and cannot go to the provincial capital. He cried at my place every day before. No one has come these days. I guess I can't afford the trouble, so I took him home to wait for death. ”

He had bile duct stones and was taken home to wait for death. Wang Guohua was even more unhappy after hearing this.

"You contact the patient's family and send the patient here." Wang Guohua said, "As for the cost, you can decide."

"I will apply for the fee with the hospital and go through the dispute process. Don't worry, the general surgery bonus will not be deducted."

Lin Yuming said happily when he saw Wang Guohua agreed and promised to wipe his butt for Wen Youren and himself.

He said that he could bully the family and suppress them with force. Lin Yuming knew that the family would not cause any big trouble.

but!
Everyone has a sense of compassion.

Now that the old director Guohua is back, let's give it a try, just in case it can save him.

"Ronald, with this patient I want to see how well you write medical records and receive patients."

Luo Hao was stunned and nodded.

Wang Guohua always uses affirmative sentences no matter what he says, and he doesn't ask whether he agrees or not.But after all, it was about treating diseases and saving people, so Luo Hao was not unhappy.

"Ding dong~"

The system task prompt sounds immediately.

[Daily tasks: Hard-to-find stones.

Task content: Successfully solve the complications of residual stones after laparoscopic cholecystectomy, common bile duct lithotomy and T-tube drainage.

Task time: 1 week.

Mission reward: 10000 experience points, admiration from peers +1.】

The task seemed nothing, just an ordinary task, but Luo Hao knew the difficulty of the second surgery.

He did not take it lightly, but glanced at the task, without even looking at the reward, and asked, "Director Lin, what's the patient's name? I'll look for the past medical records and imaging data."

After getting the basic information, Luo Hao started to get busy.

After getting the information, he asked Wang Guohua to study together.

Wang Guohua did not have his own office, and he refused to go to Wen Youren's director's office. When Luo Hao came back, he was sitting in the doctor's office reading.

"Director Guohua, this is the patient's film."

The two studied for a while, and Luo Hao took out the medical records and found the operation records.

"I won't read it anymore. Let's wait until the patient comes."

"it is good."

When Wang Guohua saw that Luo Hao was confused, he added, "What book do you want me to read?"

Luo Hao had long seen Wang Guohua reading "History of the Ming Dynasty" instead of "Practical Surgery".It is estimated that Wang Guohua has memorized "Surgery" long ago, and there is no point in reading it again.

"Director Guohua, you are also interested in studying knowledge." Luo Hao said with a smile.

"If you look at it, writing history books is similar to writing medical records. They are both fooling people."

"???"

Luo Hao suddenly became interested.

Wang Guohua's thinking can be considered novel because history books and medical records can be connected.

"Director Guohua, can you give me an example?"

"How much do you know about Ming history?"

"The game starts with a bowl and ends with a rope." Luo Hao said the joke on the Internet.

"Bullshit." Wang Guohua said scornfully, "That's not how you look at reading or medical records."

Luo Hao listened attentively.

"Zhu Yuanzhang is a beggar, as you know in Huangjue Temple."

Luo Hao nodded.

"Then let me ask you something. The book says that Lao Zhu set out on a wandering trip in September 1344 because he couldn't bear the hunger. He was 9 years old at the time. He returned to Huangjue Temple in 17 when he was 1348 years old. In 21, he was 1352 years old. At the end of February, he set out to join Guo Zixing's rebel army. Then in the leap month of March, he became Guo Zixing's son-in-law."

"Yeah, so it starts with a bowl."

"Guo Zixing is a wealthy man. When he rose up, he had thousands of people under his command. Let me ask you, how many people like this have you seen?"

Luo Hao thought to himself that he might be richer than Guo Zixing.

But this thought only flashed before he understood what Wang Guohua was going to say.

"It's unreasonable for the adopted daughter of a rich man to marry a beggar monk!" Luo Hao said.

Wang Guohua smiled slightly, with a teachable expression on his face.

"So, the scandals that cannot be mentioned in Lao Zhu's family have happened in the past few years. Since Guo Zixing can marry his adopted daughter to Lao Zhu, it will definitely not be because he is an ugly monk begging for food, right?"

"It's like there are some things that cannot be written in the surgical records, and those things are the truth." "So, there is no point in reading these." Wang Guohua said lightly, without feeling depressed or cursing.

He knew Wen Youren well and knew what his apprentice could do.

"What should we do, Director Guohua?"

"Wait for the patient to come." Wang Guohua decided at a glance.

……

After get off work, Wen Youren struggled for a long time and finally came to Wang Guohua's house.

"Master." Wen Youren shouted aggrievedly as he entered the room, carrying two bottles of Feitian.

"Youren is here, come in and sit down." Wang Guohua's lover brought slippers to Wen Youren.

"Youren, I'm looking at your electrocardiogram." Wang Guohua was sitting on the sofa and reading a book wearing reading glasses. Hearing Wen Youren's visit, he said directly without raising his head.

"Master, I was so angry that I had a heart attack. This time the symptoms were so severe that they almost killed me." After saying a few words to his wife, Wen Youren couldn't wait to enter the room and complained directly.

Wang Guohua said nothing and was still reading.

"Master, the whole hospital consulted. Director Lin relied on him to manage the medical department. He insulted me in every possible way. I was so angry."

Seeing that Wang Guohua remained silent, Wen Youren's voice gradually became weaker.

He knows his master's temperament and work style better than anyone else.

"division……"

"Youren, it's not good to take too much levofloxacin." Wang Guohua said lightly.

"!!!"

Countless thunder exploded above Wen Youren's head.

He looked at Wang Guohua at a loss, his heart going blank.

"The electrocardiogram taken after you fainted was nothing serious. It was an old problem and the ST segment changed. But then the electrocardiogram showed abnormalities. As soon as I saw it, I knew it was the change in the electrocardiogram caused by taking a large amount of levofloxacin.

I remember I told you this when we were having surgery together in 12. "

"..." Countless gold stars twinkled in front of Wen Youren's eyes.

"Levofloxacin has a special side effect - prolongation of the QT interval on the electrocardiogram. In addition, you have an old myocardial infarction, which looks particularly like an abnormal electrocardiogram. But you have to know that if you eat a particularly large amount, levofloxacin will further induce torsades de pointes Malignant arrhythmias such as ventricular tachycardia can even lead to sudden cardiac death!”

"!!!"

Wen Youren felt that he was being controlled.

Although the master had retired for several years and had never been to the hospital or had any surgery, as soon as he stuck his butt out, the master knew that he was going to poop a few sheep dung eggs.

It feels like walking around in a crowd without any clothes on.

"You are too courageous. Eat...well, you will hurt others and yourself." Wang Guohua didn't even raise his head, he kept looking at the book and said lightly, "As a doctor, no matter what happens, you can't The patient is involved. If you dig up the ancestral graves of Lin Yuming's family in this matter, I can tell you that you have the guts."

"But look at you, have I gone astray over the years?"

Wen Youren's mouth was dry.

Unexpectedly, Master was not in the hospital, but he had a clear understanding of the situation.

"While I'm afraid that the medicine given to you by the circulatory department will be bad for your health, I also have to take a large amount of levofloxacin orally to change the electrocardiogram. You see, if I give you the power, why don't you go to heaven?"

Wang Guohua scoffed.

"Master, I..."

"Check your kidney function tomorrow morning. Don't let anything happen." Wang Guohua put his finger to his mouth and licked it, turning the pages of the book.

"Master, but you can't..."

Wang Guohua put down his book, took off his reading glasses, and looked at Wen Youren seriously.

Wen Youren didn't know where to put his hands and feet, like a child who had done something wrong.

"The level is not good enough, it's a matter of talent. Forget it, if I don't talk about this, do you think I'm too old and still want to be a nuisance in the hospital?" Wang Guohua asked.

He was full of energy, and his words resonated in a physical sense, making Wen Youren feel uncomfortable in his heart.

"You were wrong about this from beginning to end." Wang Guohua didn't give Wen Youren any face. "Especially when you fainted at the end, you were so stupid that you lost your face! I don't know what was going on in your mind."

"Master, I...I didn't think about the operation. You also saw that I went to the operating room with an intravenous drip." Wen Youren defended in a low voice.

"Who the hell doesn't know your little thoughts? Take good care of yourself, your mind is already in chaos. I'll take care of it for you during this period. For more than half a month, you can come back after you have rested and calmed down. Don't worry, I'm here Now, Lin Yuming can't afford to cause any trouble."

Wen Youren was startled.

"Why do you think I agreed to re-employ? Are you really going to do ERCP? Isn't it just to help you survive for a while!" Wang Guohua scolded angrily.

"Master, thank you." Wen Youren was so moved that he almost cried.

"Alas." Wang Guohua waved his hand, but hesitated to speak.

……

……

"Master! During yesterday's emergency surgery, you didn't see Director Wen's face, which was uglier than eating shit." Chen Yong said excitedly.

He sat on the corner of the sofa. Only the seat where Chen Yong sat in Jiang Wenming's house looked cleaner.

"It's so ugly to talk." Jiang Wenming lit a cigarette and smoked leisurely.

"But today Director Wang Guohua came and said that he wanted to learn to do ercp. Master, you..."

"Why are you talking about that? I'm going to adapt my new book. Let's make a game first and find some third- and fifth-tier female stars to play the real roles." Jiang Wenming said with a smile while smoking a cigarette.

Chen Yong reached for a cigarette, and Jiang Wenming slapped the back of his hand.

"Children, if you don't learn well, smoking is harmful to your health."

"But you..."

"What am I afraid of with my old bones?"

Chen Yong looked at Jiang Wenming helplessly. At 30 years old, he didn't look any older than himself.

"By the way, Master, what game will you adapt?"

Chen Yong looked at Jiang Wenming's computer screen.

Surrounded by beauties... Such a vulgar name makes me want to vomit just by looking at it.

"You don't understand." Jiang Wenming crossed his legs and said, "I am writing a science fiction masterpiece that is greater than The Three-Body Problem."

"!!!"

"Next month when the copyright fees come in, I'll treat you and Luo Hao to dinner." Jiang Wenming said, "Having said that, based on my understanding of the old director of Guohua."

As he spoke, he began to ponder.

Chen Yong was not in a hurry, and silently looked at the master who was "not doing his job properly".

Master has been wandering around in his life, only had a short marriage, and didn't even have children. How could he write a book about being surrounded by beautiful women?

Does he know what it feels like to be surrounded by beautiful women?

It's not that I look down on him. If he could be surrounded by beautiful women, his family wouldn't be in such a mess.

It is said that Chen Yong was deeply impressed by one of the characters in it. The girl fell in love with the player so much that she started tidying up the house as soon as she entered the house.

It seems that this person is a reflection of Master's heart.

As he thought about it, the corners of Chen Yong's mouth raised.

"Are you thinking that I don't understand what it means to be surrounded by beautiful women?" Jiang Wenming suddenly asked.

"Ah? Yeah!" Chen Yong didn't hide it and nodded.

"Those who are willing to read don't know much. There are many beauties around you, but if you write it, others will find it unrealistic."

"How could it be! I have experienced it myself!" Chen Yong defended.

"What's the use of that? It's said that the big guys who wrote pornographic stories in the past have never even touched a girl's hand." Jiang Wenming said with a smile, "Imagination, imagination, that's the key point."

"Have you ever played "AKB1/48 Love General Election"?"

Chen Yong shook his head.

"In other games, the favorability is cultivated little by little, but this old game has all the favorability points online. All the characters are played by the real-life AKB48 idols themselves. Players must only keep one person and get rid of them. Everyone else does.”

"!!!"

"So, you don't understand the world of otakus, and it's useless to say more. It focuses on the feeling of being loved. Unlike you, there are too many people who love you, or are greedy for your body. Hahaha~" Jiang Wenming said and laughed.

"..." Chen Yong was speechless.

"Speaking of which, did you follow Luo Hao to the Internet cafe to do some hacking?"

Chen Yong recounted the process of his contact with Luo Hao.

"You, even if you have too much contact with women, you don't know how to chat with men." Jiang Wenming sighed, "Don't worry about the old director Guohua, I understand him. But let me give you a suggestion!"

Chen Yong pricked up his ears.

"Don't think that being a junior doctor is a huge injustice. You have to see whether the person wants it or not."

"Hahaha." Chen Yong laughed, "Master, look at what you said."

"What if you have a competitor?"

"Who is willing to perform thread-eating surgery with Luo Hao?" Chen Yong told the truth.

"What if it's Wang Guohua?"

Chen Yong was stunned for a moment.

Jiang Wenming waved his hand, "It's not important. The old director of Guohua agreed to re-employ this time, mainly to wipe the butt of Wen Youren. This director is getting worse and worse, especially after the medical department recently moved into the general surgery department, Director Lin He and Luo Hao have already stirred up troubles."

"Go back, the game party and I still have some things to communicate." Jiang Wenming began to chase people away.

"Master, I can be your adviser."

"You? No. You have rich experience and have long lost the illusion of the game audience. If the game is made according to your ideas, it will definitely not be sold."

……

……

One day later, the 120 ambulance picked up the patient and brought him to the mine for hospitalization.

The patient is a middle-aged woman with a sallow complexion and weak body.

It was visually observed that the patient's tolerance for the shock of the second surgery was not high. This is probably why Wen Youren did not admit the patient and would rather accept the complaint.

After being taken in, he couldn't handle it, nor could he perform surgery. He could only watch the patient getting weaker day by day.

From a certain perspective, Wen Youren's suggestion that patients go to provincial capitals is also the right path.

But a penny stumps the heroic man.

Although the provincial capital is not far away, and the high-speed rail and high-speed trains are also convenient, the cost is really making things worse for families who are not already wealthy.

Luo Hao took a flat car to pick up the patient.

120 The back door of the ambulance opened, and a dark-faced man jumped out first. He was holding a cloth bag tightly in his hand, like a treasure.

"Are you a family member of the patient?" Luo Hao asked.

The man nodded cautiously.

"I am your lover's bedside doctor. First, lift the patient onto the car. If you have any questions after hospitalization, you can consult me."

Luo Hao gave the man a warm and sunny smile.

In order to avoid repeated troubles, the patient first underwent relevant examinations and then was sent to the ward and carried to the bed that had been prepared.

After asking about the medical history, Luo Hao comforted the patient and his family members with a few words, and asked them to come to him directly without being formal if they had any questions, and then turned around and left.

"Doctor..." The man followed out carrying a cloth bag.

"My name is Luo Hao." Luo Hao said with a smile, "I am your lover's bedside doctor. You must remember that."

"Oh oh oh, Doctor Luo, this is...this is the old hen that was killed at home early in the morning. Take it."

(End of this chapter)