White armor

Chapter 270 Crosstalk
There were no technicians, and even the instrument nurse Luo Hao was not wanted. Only Luo Hao and Liu Yiyi were left in the operating room.

Lonely and deserted.

The operating room couldn't accommodate so many people, and people from other departments had already been driven away. Shen Zizai and Director Xu sat on the sofa, watching the situation inside through the leaded glass.

"Old Shen, your Professor Luo is really confident. Awesome! I don't know what to say except admiration." Director Xu exclaimed.

"..." Shen Zizai was speechless.

He would rather Luo Hao had no confidence.

Although he didn't have to clean up the mess himself, and Luo Hao respected him as the director and didn't covet the position, Shen Zizai still felt a little uncomfortable because Luo Hao's kindness was rejected.

"Professor Luo has consulted Director Feng, and Director Feng will help cover the consequences if anything happens. What are you worried about?" Director Xu asked.

He felt much more relaxed. After all, someone took the initiative to help him carry the big pot. Director Xu breathed a sigh of relief.

Luo Hao moved the mountain and removed the mountain that was weighing on Director Xu's heart.

"Alas, I feel like Xiao Luo might be a little bit proud after successfully applying for the Youth Director position." Shen Zizai sighed.

"What the hell? Qingchang? Young Yangtze River Scholars?" Director Xu was surprised.

Even in a hospital, not everyone knows everything.

In a large hospital with thousands of people, other than scandals and gossip, other information does not spread quickly.

"Yes, I applied for the Outstanding Young Scholar some time ago, and just applied for the Young Leader. I may have to apply for the Young Selected Scholar in the future." Shen Zizai looked at Luo Hao through the leaded glass with mixed feelings.

"..."

This time it was Director Xu's turn to be speechless.

With such an impressive resume and various projects that far surpass those of the National Natural Science Foundation of China, all of them were applied for and approved within a year.

Is he still a human being?

"Huh? Why are you all out?"

Feng Zixuan walked in and frowned when he saw the crowded crowd.

"Director Feng."

Shen Zizai and Director Xu stood up together.

"Ronaldinho is doing angiography."

"Oh." Feng Zixuan stood in front of the leaded glass with his hands behind his back, watching Luo Hao who was performing surgery alone.

Further away, the person taking care of the ventilator and monitor at the patient's head is Liu Yiyi.

"There's not even an equipment nurse?" Feng Zixuan asked unhappily.

"Professor Luo said it's not necessary." The director of the Anesthesiology Department quickly explained.

After hearing Luo Hao's opinion, Feng Zixuan stopped talking and just watched Luo Hao who was performing the operation.

"Director Feng, sigh." Director Xu wanted to explain something, but swallowed the words back when they came to his lips.

"If you have something to say, just say it. Isn't the patient fine?"

"Well, I had an aortic repair. If... there will be no problem, I can leave alive." Director Xu stuttered.

He originally wanted to say that if he didn't make any trouble.

But Luo Hao was essentially taking the blame for himself, and Director Xu couldn't bring himself to say something that was just to exonerate himself and add insult to injury.

"It will be fine as long as he steps down alive. Is what Xiao Luo said possible?" Feng Zixuan continued to ask.

"After reviewing previously published cases of fish bones stuck in the throat, we found that some fish bones have penetrated the aorta or liver through the digestive tract, causing bleeding or abscesses, but there have been no cases of fish bones penetrating the aorta through the digestive tract and then "traveling" in the body with the blood flow."

"No?" Feng Zixuan was stunned for a moment, then asked, "Union Hospital doesn't have any relevant medical records either?"

"Well, I haven't found anything yet." Director Xu told the truth.

Feng Zixuan was silent, watching Luo Hao busying around through the leaded glass.

Originally, Feng Zixuan thought that Luo Hao had used another trick - finding similar medical records from the Union Medical College medical records database.

The First Hospital of Medical University may not have received similar patients, but it is different for Peking Union Medical College Hospital.

however!
That's Concorde.

But Feng Zixuan also knew that once such an "incredible" case occurred, the surgeon would never let it go and would have to publish a related paper.

This is the gift in front of him, which seems to mean that this letter came at the right time and God helped Huang Zhong to succeed.

But it’s not found in the paper search!

Feng Zixuan hesitated again and again, but still did not press the intercom to communicate with Luo Hao.

The relationship between the two was tempered in India, and Feng Zixuan believed in Luo Hao deep in his heart.

But... this time it was a bit too outrageous, and Feng Zixuan's trust was somewhat shaken.

contrast.

3 times in a row.

Soon Luo Hao turned around and made a "V" gesture to the outside.

What does it mean?
Luo Hao tore off his sterile suit and gloves and threw them into a large red trash can, then kicked open the door of the operating room.

"Swish~" Luo Hao tore off the lead cap and threw it to the ground.

A small flower hat appeared behind Luo Hao as if by teleportation.

Feng Zixuan was surprised to see Liu Yiyi following behind Luo Hao and packing up various lead clothes.

And Luo Hao seemed to have gotten used to it.

What a waste of talent! How could Liu Yiyi be allowed to do such a thing? Feng Zixuan thought to himself.

But before Feng Zixuan knew it, a strange thought came to his mind - is it possible that everyone in Luo Hao's medical team has to snatch the lead vests?

As he was thinking, Feng Zixuan touched Zhuang Yan.

"Uncle... Director Feng, what's wrong?" Zhuang Yan was confused.

Feng Zixuan didn't say anything. At this time, Luo Hao had already walked out.

"Xiao Luo, how is it?" Feng Zixuan went forward.

"Director Feng, why are you here? It's enough for you to know about this matter. I'm here." Luo Hao narrowed his eyes.

"Did you find the problem?"

"Yes, I found it." Luo Hao said, "Angiography showed that there is a defect in the hepatic artery. We need to do a CT scan."

"..."

"..."

"..."

Everyone was silent.

Do a CT scan? And you have to go to the CT room with a ventilator?
It would be better to step down first before going through all this.

Luo Hao glanced at the people around him, and Shen Zizai coughed, "The DSA machine in our hospital has a CT function, but the resolution is a bit poor."

"It can also do three-dimensional reconstruction." Luo Hao emphasized.

"!!!"

This time even Shen Zizai was stunned.

The Dsa machine can indeed perform three-dimensional reconstruction, but even Shen Zizai has never done it, so he has forgotten about it.

The machine is mainly used for surgery. Who would use DSA for CT or even 3D reconstruction?

The resolution of the 64-row CT machine in the hospital is much better than that of the DSA machine, so there is no need for it.

However, under the current special circumstances, we are forced to use this machine for inspection and three-dimensional reconstruction.

"What about the time?" Shen Zizai looked at the defect in the hepatic artery, enlarged it, and agreed with Luo Hao's statement.

To be honest, if Luo Hao hadn't reminded him, Shen Zizai felt it would be difficult for him to notice the problem.

Shen Zizai speculated that because the diameter of the aorta is large and the blood flow rate in the artery is fast, after the fishbone fell into the aorta, it was washed to the distal artery by the blood flow; it stopped at the hepatic artery, probably because the diameter of the hepatic artery is similar to that of the fishbone.

"I'll do it myself, it'll be quick. By the way, Director Xu, after the CT scan, please close the chest. Old Meng..."

Luo Hao just shouted once and then stopped immediately.

Meng Liangren is not here.

Zhuang Yan tried to squeeze forward, indicating that Xiaozhuang could do it since Lao Meng was not around.

But Luo Hao pretended not to see it and smiled, "Director Feng, please arrange for someone to explain to the patient's family."

"Yeah." Feng Zixuan nodded.

"Find a hepatobiliary specialist to perform the surgery. I'll follow along. It won't be a big problem."

Then he started step by step according to Luo Hao's arrangement.

After completing the simple CT scan using the DSA machine, Luo Hao sat in front of the computer and concentrated on the three-dimensional reconstruction.

Shen Zizai felt lost in his heart, and he didn't know what to feel.

The inexplicable disappearance of the fishbone left himself, Director Xu, and a series of directors, experts, and professors from the First Hospital of the Medical University at a loss as to what to do.

But Luo Hao is still in the imperial capital, so he said he could cure it.

After I came back, I was given angiography, CT scan, and reconstruction, and I had to undergo surgery right away.

Is it really good that he is so capable?

Does it make me look too incompetent?

Shen Zizai was depressed.

"Director Shen, Xiao Luo is becoming more and more capable under your command." Feng Zixuan's voice reached Shen Zizai's ears.

Shen Ziyi was stunned.

Command? Can I command Luo Hao?
Just dream.

But they are all thousand-year-old foxes, so how could they not become spirits? Shen Zizai immediately realized Feng Zixuan's true meaning.

"Oh." Shen Zizai smiled slightly, "Xiao Luo is a gifted man. He is a monster raised by the Union Medical College's teaching and training system. He has nothing to do with me. As the director, I just need to do the logistics work and let Xiao Luo show his talents and open up a new world for himself."

Everyone was speechless, only Feng Zixuan said calmly, "Don't be modest, this is all thanks to Director Shen, otherwise Xiao Luo wouldn't have made such rapid progress."

Everyone stared in amazement, feeling a sense of unreality as they listened to Feng Zixuan and Shen Zizai's words.

Are you telling crosstalk?
"Well, Director Feng is right. Without Director Shen's strong support, it would not have been so easy for me to get the Outstanding Youth and Youth Leader projects." Luo Hao added, turning the crosstalk into a group crosstalk.

Shen Zizai was very pleased, especially when he felt the jealous gaze of Director Xu who was bathing beside him.

"Director Feng, I have a suggestion." Shen Zizai's mind was extremely clear.

"what happened?"

"The DSA equipment in the operating room still needs to be connected to the hospital network pan/tilt unit. If that were the case, it wouldn't be so difficult for Xiao Luo." Shen Zizai suggested.

Feng Zixuan nodded slightly, "Director Xu, go get your chest closed. What are you looking at here?"

"Oh oh oh." Director Xu washed his hands and closed his chest with mixed feelings.

After 12′21″.

"Here." Luo Hao said, pointing to the three-dimensional reconstructed image.

Although the CT scan of the DSA was sloppy and difficult to reconstruct, Luo Hao managed to do it and finished it in just over ten minutes.

After the reconstruction, Director Xu on the operating table had not yet closed the chest.

"Go find your liver and gallbladder." Luo Hao said.

"Xiao Luo, how did it get into the hepatic artery?" Feng Zixuan looked at the reconstruction results, his eyes completely blank.

Fish bones, esophagus, aorta, hepatic artery, all of them have gone to the horizon. "I don't know either. There is no similar case in my Union Hospital's medical records. In recent years, only West China Hospital has received a similar patient."

Feng Zixuan's hair felt numb.

The Peking Union Medical College Hospital accepted a patient whose medical records were not even in its century-old database? Damn!
Is this bad luck or... bad luck?

"Director Feng, please order an ultrasound so I can take a look at the blood flow." Luo Hao continued.

"We've already done 3D CT, why do we need B-ultrasound?" Feng Zixuan asked subconsciously.

"See if the fishbone has damaged or pierced the hepatic artery or caused blood flow obstruction to the liver." Luo Hao's eyes looked a little strange, as if this question should not come out of Feng Zixuan's mouth.

Each inspection has its own unique function, and no single inspection can cover all the problems.

Feng Zixuan also realized that there was something wrong with what he had just said, and he felt a little embarrassed as he was always deep and serious.

There are always patients coming to the Medical Department to complain that they need to do MRI after CT scan, saying that the hospital just wants to make more money.

Faced with this situation, the Dispute Office of the Medical Department can only keep explaining.

If such explanations are too professional, not only will the patients and their families not be able to understand them, but the dispute mediators in the Medical Department are not particularly professional either.

However, even if it is explained simply, the patients and their families still cannot understand.

In fact, there is a very direct logic here - you get what you pay for.

The more expensive the examination, the more precise it is. In clinical practice, there is no single examination that can cover the entire body, including the PET-CT that costs nearly ten thousand yuan.

Feng Zixuan picked up the phone and started making calls, acting as the central contact.

The hepatobiliary resident's chief medical officer came up first.

It’s getting late, and it’s highly likely that Director Xie is not in the hospital.

However, the chief resident of the hepatobiliary department was in a dilemma when he came in. His expression looked like he had been constipated for a week. He looked at the 3D reconstructed film and started to call for help.

Laparoscopic surgery cannot be used in this situation. When pneumoperitoneum is created, the abdominal cavity pressure increases, which is very likely to deflect the fishbone or even puncture the hepatic artery, leading to unpredictable consequences.

But if it's an open abdomen... the hospital manager... won't do that.

It's not that we don't know how to do it, but we can't do it well. Nowadays, almost all surgeries are minimally invasive, and traditional laparotomy is rare.

He was a little embarrassed and guilty, unwilling to admit in front of the medical director that he was not good enough. But if he didn't admit it, would he really have to go on stage?

If that were the case, it would be even more embarrassing.

"Have you called your director?"

"Yes, we did." The resident manager quickly explained to Feng Zixuan.

"Let's open it first and wait for Director Xie to come." Luo Hao suggested, "The patient's general anesthesia will take a long time, so let's do the preliminary steps first and do the key steps after Director Xie comes."

"Professor Luo, this isn't a good idea." The resident manager was a little hesitant.

"Then open the abdomen first, which is the easiest. Now that Director Xie is here, we can start the surgery right away to save time."

"Row."

The resident manager waited for the cardiothoracic surgery department to close the chest before washing his hands and laying out the sterile sheets again.

"Let me help you. It's not difficult to open the abdomen. Don't be nervous." Luo Hao squinted his eyes and stood in the position of an assistant.

"Professor Luo, you have a practicing certificate."

"Yes." Luo Hao comforted the hospitalized CEO, "Don't worry, it won't break the rules."

"Well, you did a great job on the operation. Director Chen from the gastroenterology department praises you to everyone he meets, saying that your surgical skills are almost as good as his." The chief resident of the hepatobiliary hospital was relieved.

"Director Chen was just saying it casually. He can't say that I'm a good surgeon, but worse than him." Luo Hao said with a smile, "That would be too rude. Don't take Director Chen's politeness as a fact. He's a much better surgeon than me, and he's also a very experienced person."

Is that the case?

The resident director of the hepatobiliary department was stunned.

Opening.

Luo Hao took on some of the work of an instrument nurse.

As soon as the hepatobiliary ward director stretched out his hand, a pack of iodine-containing gauze was handed to him.

Disinfection. Before the hepatobiliary ward manager could say anything, Luo Hao had already wiped the iodine clean with dry gauze.

At the same time, Luo Hao picked up the scalpel with his left hand, pointed the handle at the hepatobiliary resident manager, and slapped the scalpel in his palm.

Hand up, knife down.

Luo Hao's hemostatic forceps were at 15cm, and the chief of the hepatobiliary hospital only estimated that this was about the right point, but he had no clear idea. Seeing that Professor Luo's hemostatic forceps fell here, he stopped there.

Stop bleeding, perform electrocautery, and open the abdomen layer by layer.

After a few retractors, the chief hepatobiliary resident was surprised to see that the liver portal was perfectly exposed.

Luo Hao is like Nezha, holding 3 or 4 retractors by himself. The position of each retractor is quite precise, which reduces the difficulty of the operation.

Even the chief resident of the hepatobiliary hospital did not realize that it was a problem with Professor Luo's technique. He was just impressed by how smoothly the operation went.

Liu Yiyi, who was standing at the patient's head, saw it clearly and sighed in her heart. Professor Luo said he would not perform surgery, but his covert surgical method was more difficult than the main surgeon.

"Here, this is the hepatic artery. I think Director Xie will be very careful to free it when he comes, starting with the near side and then moving it far away, and then prepare to wrap the traction band around the blood vessel."

"If bleeding occurs, will it stop immediately?"

"Well, you can try to free the proximal hepatic artery first." Luo Hao "suggested".

"I……"

"Don't worry, it's okay." Luo Hao hooked a hemostat with his little finger and gently tapped the back of the hand of the hepatobiliary resident as a sign of comfort.

"Professor Luo, what should I pay attention to?"

The hepatobiliary resident seemed eager to try, but still a little timid.

He asked Luo Hao in a low voice.

Luo Hao explained 8 technical points, and the chief medical officer of the hepatobiliary hospital plucked up the courage to try it.

The proximal hepatic artery was freed smoothly, as if by divine help.

The hepatobiliary resident left a thick traction band around the blood vessels and then began to free the distal end.

Today is a good day. The operation went quite smoothly. The hepatic artery was freed standardly, just like a picture of local anatomy.

"Great! After serving as the resident chief, you can lead a team now. Your level is good enough." Luo Hao praised.

The hepatobiliary hospital manager was somewhat pleased with himself and looked very energetic.

He himself didn't realize that the rarely performed laparotomy could go so smoothly!

Even if Director Xie came, he could only do this much.

Feng Zixuan, Shen Zizai and Director Xu of the cardiothoracic surgery department stood behind and watched. Everyone understood that the operation went so smoothly because of Luo Hao.

Luo Hao's blunt separation technique has reached perfection; with just an extension of his fingers and a pinch of tissue, the local anatomical structure becomes simple and clear.

The most amazing thing is that Luo Hao's two hands are equally dexterous, and each of them does their own thing without disturbing each other.

With Luo Hao helping to "make the promise", the following work was extremely simple and clear, and not a big deal at all.

With the experience of naked hepatic artery surgery, the chief hepatobiliary resident became bolder and did it step by step.

Half an hour later, Luo Hao reached out and touched his veins. "That's it."

"Professor Luo, this blood vessel can also be naked. Make preparations in advance and wait for the director to come." The chief of the hepatobiliary resident department was very interested.

"Just finish it, and I'll do it when the abdomen is closed."

A voice came from behind, and the head of the hepatobiliary hospital shuddered. It was his own director.

When did he come? !

"director."

"Idiot." Director Xie scolded with a smile, "Professor Luo has been guiding you all the way, and you still think your surgical skills have improved by leaps and bounds?"

“???” The chief manager of the hepatobiliary hospital was stunned.

"Professor Luo, just finish it. I'm serious. I'm too lazy to wash my hands and I've been allergic lately." Director Xie and Luo Hao said.

Although the words used were similar to those spoken by the resident, the tone and attitude were completely different.

"Don't worry, Director Xie. I'm a doctor from the interventional department. I came here just to lend a hand, help pull the hook, and watch the fun by the way." Luo Hao explained with a smile.

Director Xie did not say any more polite words. He turned around to wash his hands, then pushed the hepatobiliary resident to the second assistant position and reached in to touch him.

"Tsk tsk, how did it enter the hepatic artery from the aorta? It's so rare." Director Xie exclaimed when he felt the fishbone the size of an embroidery needle in the branch of the hepatic artery.

Although the operation has reached this step, the real difficulty has just begun.

Director Xie just saw Luo Hao making a fool of his own resident, and he kept flattering him about laparotomy and free blood vessels.

Although Professor Luo Hao did nothing wrong, Director Xie always felt that Luo Hao was slippery.

He's so greasy at such a young age!

He was fully focused and tried his best from the start, just thinking about not being "tricked" by this "greasy" young man.

If that were the case, the hepatobiliary surgery department would have to go to their grandma's house.

However, Director Xie realized the problem as soon as he started. Although Luo Hao opposite him did not seem to do anything, the operation was done smoothly. He felt as if he had drunk a sip of fine wine and felt comfortable from the inside out.

Compared with Luo Hao, the performance level of the professors in his group is simply rubbish.

Luo Hao didn't say anything else and just focused on cooperating with the operation.

Director Xie quickly removed the fishbone and repaired the damaged hepatic artery.

The operation lasted 2 hours, including flushing, exploration, and abdominal closure.

Director Xie was performing the operation from beginning to end, and had no intention of just removing the fishbone and then leaving.

I was really happy having this surgery done.

But all good things must come to an end. As long as the operation goes smoothly, it will eventually come to an end.

After sewing the last stitch, Director Xie felt lost.

There was no joy from a successful operation, just a sense of emptiness inside.

At this moment he truly understood what Chen Yan said.

In the past two months, Chen Yan would complain about the hospital every time he had a meal. How could such a young surgical technician like Luo Hao be able to do interventional surgery?

Luo Hao is also confused. He is here to work in gastroenterology. From now on, all textbooks will have to be compiled by Luo Hao.

Director Xie once thought that this evaluation was too high, and that old man Chen Yan must be getting confused.

But after cooperating with Luo Hao once, Director Xie had a similar idea that it was a real waste for Luo Hao to intervene.

People like this should be forced to work like beasts of burden in the operating room, and be whipped when they can't do the work anymore.

Director Xie was still sighing in his heart when the patient started to twitch.

Woke up?

Director Xie glanced at the anesthesiologist Liu Yiyi.

It seems that not only he is giving his all, but Liu Yiyi is too.

The most difficult part of anesthesia is of course unexpected situations during surgery, but the anesthesiologist's skill lies in the patient's awakening time.

The patient wakes up after the last stitch, which reflects the anesthesiologist's technical level and his estimation of the surgeon's level.

Everything has to be extremely perfect to do this.

……

With Luo Hao's guarantee, Geng Qiang explained the matter to the relevant departments in charge of tourism after returning.

The promotion for the Ice and Snow Festival started half a year in advance!
(End of this chapter)