White armor

Chapter 280 Doctors Without Borders

Luo Hao reset it as quickly as possible, then put his hand on GW to feel the heat and determine whether there was any necrosis.

Fortunately, there should be no necrosis.

Although cutting one off would not affect fertility, it would still look ugly, and Luo Hao breathed a sigh of relief.

Time was almost on the edge of necrosis, and even Luo Hao was not sure whether the patient's GW was necrotic.

But after comparing it with the AI ​​diagnosis, Luo Hao estimated that there is a high probability that it will get better.

After the reduction, Luo Hao placed his hand on the patient's GW and waited quietly.

"Why don't you close the door!" the head nurse rushed over angrily.

"Hey, it's Xiao Luo." The head nurse narrowed her eyes after seeing it clearly, and she must be smiling.

But she took one look at the position where GW was twisted and immediately became serious, "Is it really bad?"

"I don't know, probably not. I've already called Director Pei."

"I'll go prepare something." The head nurse left in a hurry.

Then the patient was pushed in, and Chen Yan turned around in a daze and went downstairs to change clothes.

Diagnostic errors are not uncommon in clinical practice. Who hasn’t made a mistake at some point?

If you can tell at a glance...it is fiction, fantasy, the most ideal state.

Otherwise, what is the need for multidisciplinary consultation and multidisciplinary collaboration?

but!

Luo Hao hurriedly opened the door of the operating room, took a look at the patient, and was about to take off the patient's pants the next second.

Chen Yan remembered this detail and could not get rid of it. The typical plank abdomen would attract the attention of any doctor, but Luo Hao had to take off the patient's pants.

Luo Hao seemed to have the ability to see through things.

Weird.

Chen Yan was thinking while changing his clothes.

His movements were slow and suspicious.

As an experienced expert in general surgery, he has seen at least 2 to 300 patients with acute abdomen in his life.

The patient in front of me had obvious signs of acute abdomen. His stomach was like a wooden board, with layers of fine sweat. He had the kind of abdominal muscles that girls loved the most.

But as a doctor, the first thing to consider is acute abdomen, and no one would think of GW torsion. After all, GW torsion is relatively rare, at least rarer than acute abdomen.

Damn, that's weird!

Could it be that Luo Hao has the ability to see through things?
Chen Yan thought about it and blushed. If that was the case, wouldn't Luo Hao have seen through him?

Luo Hao, this filthy rascal!

Should I wear a lead suit when I see Luo Hao next time? I don't know if a lead suit that protects against X-rays can also protect against X-ray vision.

Chen Yan was lost in thought.

"Old Chen, what's up?" Pei Yingjie came to the operating room in a hurry to change clothes, followed by three professors who led the team and the chief resident.

Old Pei really attaches great importance to this ceremony, Chen Yan thought to himself.

"Xiao Luo has a patient who is said to have GW torsion. He asked me to come up and take a look to rule out other abdominal diseases." Of course, Chen Yan would not tell the truth to Director Pei Yingjie, so he just said perfunctorily.

Pei Yingjie changed his clothes very quickly, as if he had received an order.

Chen Yan felt quite sad when he saw this. He knew that there had been a small conflict between Luo Hao and Pei Yingjie, but it had been resolved.

I didn't expect that Lao Pei still has PTSD syndrome. Luo Hao wanted to use his face to get the surgery.

But Old Pei didn't care about the reputation at all. He just hurried to do the operation, fearing that if he was a step slower, Xiao Luo would scold him like a dog in the medical record.

He even brought a few of his most capable subordinates and a group of professors to the stage.

Chen Yan thought of the medical record. Xiao Luo's medical record was written very well.

Although he was thinking about all sorts of things in his mind, Chen Yan did not sit quietly, but followed Director Pei and quickly entered the operating room.

Luo Hao and Chen Yong have adjusted their body positions, anesthesia is completed, and disinfection has begun.

"The right GW was twisted 270 degrees. After reduction and observation, except for the hematoma at the twisted site, the blood supply to GW was still there and it should be able to be saved." Luo Hao briefly reported the medical history.

Pei Yingjie took a look at the situation, turned around to wash his hands, and took his most capable professor to perform the operation.

Chen Yan breathed a sigh of relief.

He did not ask Luo Hao directly, but waited until the operation was halfway done, observing that the patient GW did have blood circulation and was not necrotic. After everyone breathed a sigh of relief, he smiled and said, "Xiao Luo, your diagnosis is amazing."

"Huh? What's wrong, Director Chen?" Luo Hao was stunned.

"Typical acute abdomen. I was stunned for a moment when you said you wanted to take off your pants."

"Oh, acute abdomen patients must routinely take off their pants for examination. When I was at Union Hospital, I met several patients who were diagnosed with intestinal obstruction in other hospitals and transferred to our hospital. When they took off their pants for examination, they were diagnosed with incarcerated hernias."

"..."

Chen Yan was speechless, feeling a little confused.

Concorde, it’s Concorde again.

It turns out that it is not the legendary X-ray eyes, but clinical experience, rich clinical experience, and medical records accumulated over a hundred years.

This is what heritage is! The so-called mountain is not a certain person, but the torch passed down by countless years and countless masters.

"Director Qian has also encountered similar situations."

“When he was supporting the frontier, he once encountered a case of diagnosis by taking off pants.

The local internist admitted a patient during the night shift and diagnosed him with acute appendicitis, which was somewhat similar to the patient in front of us.

The shift changer said the white blood cell count was normal and physical examination showed obvious tenderness in the right lower abdomen, with slight rebound pain and muscle tension. The surgeon was called to see if surgery was necessary.

Director Qian went to the ward to check on him and suspected that he had twisted his pants and pulled them down. He found tenderness in the groin and scrotum, and suspected epididymitis. The color Doppler ultrasound confirmed it was true. "

"Director Qian told me about this matter and repeatedly reminded me to take off my pants and take a look even if it was urgent. What if something unexpected happened?"

Luo Hao explained it naturally, as if it was a trivial matter that could not be more ordinary.

Chen Yan was silent.

Indeed, he also knew that he had to take off his pants, but he had not encountered a similar patient for many years. In Chen Yan's opinion, taking a second look was already like taking off his pants and farting.

"Thank you for your help, Director Pei." Luo Hao smiled and thanked him.

"The patient has successfully survived the ordeal, which is cause for celebration!" He was really happy that the patient's right GW did not become necrotic.

"What is tribulation?" Chen Yong asked.

"GW necrosis or non-necrosis, isn't this a tribulation for men? To be honest, I can't think of anything more important than this." Director Pei explained while performing the operation.

Indeed, Director Pei's words were rough but true. What he said made sense, and Chen Yong nodded frequently.

"Director Pei, thank you for your hard work. I'll go and talk to the patient's family. This patient was introduced by a friend. I'll go and tell them to put their minds at ease."

"Go ahead." Director Pei relaxed and smiled as he told Luo Hao to get busy.

Luo Hao turned and left.

The preoperative instructions haven't been made yet. Although Luo Hao is not worried because of Boss Lou's relationship, he still has to try to be as standardized as possible.

Report the good news to the patient's family, tell them everything is fine, and then sign.

Luo Hao did it in an orderly manner.

After finishing everything, Luo Hao asked, "What's going on with the land in the Far East? Why is it so far away?"

The old man wiped his tears and explained, "I went there a few years ago. At that time, we agreed to jointly develop the land. Although we don't know how many years the development will take, we will get a harvest every year. Farming, that's farming!"

Luo Hao smiled and said, "How much land? It's very big, right?"

"We are a family of five and cultivate about 1,200 hectares."

"!!!"

12 square kilometers? !
"The land over there is very good and fertile. The Russians are so wasteful that they leave such good land uncultivated. They are sick." The old man's eyes lit up when he talked about farming.

"Can it be grown?" Luo Hao asked.

"In the past, it was definitely not possible. But now it is possible, with large machines. A family of five can have one machine per person. Diesel is cheaper there, and farming is not a hassle."

“Do you use fertilizer?”

"Weed control, fertilizers, etc. are all fine. If they are available locally, we use local ones. If not, we bring them in from China.

It doesn’t matter if the area is larger, we now use medium-sized drones to spray pesticides, and I have a license.”

What the old man said was a little confusing, but Luo Hao could understand it.

What is running on the ground are large machines, and what is flying in the sky are drones, so it really doesn't require much manpower.

These are the large farms and mechanized farming that the Chinese people once envied and coveted.

As Luo Hao thought about it, he thought of bamboo.

"Did the people over there give you any trouble?" Luo Hao started chatting.

"Oh, the Russians are such bad people. They come here just to ask for money. But fortunately, they have been more restrained in recent years. They don't even farm. It's a sin to take away such good land."

The old man sighed again.

If they are not allowed to farm, then just plant them in the fields!

Luo Hao thought of this sentence.

Smiling, Luo Hao raised his hand and patted the old man's shoulder, "It's not easy to see a doctor over there."

"Well, I went to a nearby place to shoot a film. It took a long time to drive there."

Luo Hao asked some more questions about the local situation. Seeing that the patient's family was in better mental condition, he asked them to sign and then returned to the operating room.

"Senior brother, you are very gossipy." Zhuang Yan came out with him. She did not interrupt when Luo Hao was chatting with the patient's family. She only started to make a joke after the door of the operating room was closed.

"You only see gossip?" Luo Hao asked.

"Huh? What else?"

"Calm down the nervous family of the patient. Didn't you see the vein on his forehead bulge out?"

"..." Zhuang Yan recalled carefully, it seemed to be so, but she didn't notice it.

"Although I didn't measure his blood pressure, I estimate that his blood pressure is over 170, and his cardiovascular and cerebrovascular diseases could occur at any time. We need to lower his blood pressure to prevent his cardiovascular and cerebrovascular diseases from bursting."

"Uh……"

This was the first time Zhuang Yan heard that talk therapy can lower blood pressure.

"When the time comes, the patients inside will be pushed out, and the relatives of the patients outside will be pushed in. It will be a lively scene."

Luo Hao said calmly.

Zhuang Yan was completely new to the subject, but she was eager to learn. She carefully took note of Luo Hao's words and prepared to observe and practice them in clinical practice.

“Sometimes treating a disease doesn’t just involve treating the patient, the patient’s family members also need to be treated.”

After Luo Hao finished speaking, he strode back to the operating room.

Zhuang Yan hesitated for a moment and did not go into the operating room with Luo Hao. Instead, she turned and went to the nurse station to ask for a mercury sphygmomanometer.

The patient's family took their blood pressure, and just as Luo Hao said, it was 165 mmHg.

Tsk tsk.

This was the blood pressure after the talk therapy. How critical was the situation that she hadn't noticed at the time? Zhuang Yan's admiration for Senior Brother Luo increased.

After inquiring about the medical history, it was found that the patient's family had no history of hypertension. It was simply caused by driving for several days and nights and anxiety.

Zhuang Yan took note of it silently.

This is all rich clinical experience!

After this incident, Zhuang Yan felt that she had made progress. If she encountered a similar situation in the future, she would definitely be able to handle it.

Although it seems that there is no result, after all, they are only the patient's family members and have nothing to do with the treatment, but Zhuang Yan knows clearly that a good fighter is not necessarily famous for his achievements.

Senior Brother Luo is really awesome. Zhuang Yan and Luo Hao’s relationship has naturally been raised to the level of admiration, and they look at everything through tinted glasses.

Few people are willing to do this thankless and delicate job that almost no one can notice, but Senior Brother Luo Haoluo did not forget to fill similar loopholes in his busy schedule.

Zhuang Yan's admiration for Luo Hao is beyond words.

But these were all her inner thoughts, Luo Hao didn't know and had no interest in knowing.

After the operation, the patient was sent to the Urology Department, and Luo Hao called Boss Lou to explain the situation.

"Brother Luo, there are so many people who come to see you for treatment. I heard from my teacher that as a doctor grows, more and more people will come to see you for treatment, until you are too busy to handle it all. Is that right?"

"It's okay, otherwise so many big bosses would not leave the capital or the Magic City. Health is one aspect, not lacking money is another, and the more important thing is that they are too busy." Luo Hao said vaguely.

Apart from this incident, today was a calm day.

After being in the medical team for a while, Zhuang Yan has become accustomed to Meng Liangren being in charge of medical records, and her level of medical record writing has also improved rapidly. Now Zhuang Yan leaves after get off work and comes back early the next morning to revise the medical records.

After returning home, Zhuang Yan kicked off her shoes and jumped onto the sofa barefoot.

"You're such a grown-up girl, but you're still not honest at all." Zhuang Yongqiang was reading today's news on his mobile phone. He lowered his head and glanced at Zhuang Yan.

"Dad, let me tell you!" Zhuang Yan excitedly recounted what happened today.

"My senior brother is so awesome!" Zhuang Yan said proudly.

Zhuang Yongqiang's lover sighed and went about her business alone, but Zhuang Yongqiang put down his phone, took off his glasses, and looked at Zhuang Yan very formally.

"Dad, what's wrong?"

"Luo Hao is amazing, right?"

"Ok!"

"Report any related matters to me in the future." Zhuang Yongqiang said in a deep voice.

His tone was a little strange, especially when he mentioned the word "report", Zhuang Yongqiang strengthened his tone.

"Didn't I report to you? Remember, Dad." Zhuang Yan said with a smile.

Zhuang Yongqiang sighed. Zhuang Yan didn't understand his hint at all.

It's really worrying. This silly girl Zhuang Yan only cares about curing diseases and saving lives. She has been completely brainwashed by the Medical University.

Young, or too young.

Looking at Zhuang Yongqiang's expression, Zhuang Yan was stunned for a moment, "Dad, do you have something to tell me?"

Although she saw it, Zhuang Yan still didn't understand.

"Tell me, is there anything else besides this?"

Zhuang Yan thought for a long time before she remembered about Yuan Xiaoli.

After talking about this matter, Zhuang Yongqiang wanted to go up and give Zhuang Yan two big slaps to teach her a lesson.

This is only possible because she is my biological daughter, otherwise I would definitely not spoil her.

"Why didn't you tell me about such a big thing?"

"Ah? Is this a big deal? Senior Brother Luo doesn't want to go abroad. He said before that the food abroad is unpalatable. Doctor Chen Yong, didn't he go to study in the UK? He said he was starving like a rabbit there. Now he gets angry when he hears about going abroad."

Zhuang Yongqiang looked at Zhuang Yan's expression which did not seem fake but just innocent, and sighed.

"Xiao Yan, do you know why Luo Hao doesn't want to go abroad?"

"Dad, why?"

Zhuang Yongqiang was speechless for a moment.

There were some things he couldn't explain.

After a moment of silence, Zhuang Yongqiang shook his head and said, "If you don't want to go, then don't go. It's fine."

"I think Brother Luo is just too lazy to go. His level is too high, so it doesn't matter how much money he is paid there."

"Money?!" Zhuang Yongqiang's eyes widened, and all his tiredness disappeared.

"Yes, it is said that the Doctors Without Borders Foundation will provide at least 1000 million US dollars to support Brother Luo's future medical activities."

"!!!" Zhuang Yongqiang knew a little about those confidential matters, and his face suddenly became serious.

"Dad, do you think Brother Luo is stupid? Why don't you just leave the money from Doctors Without Borders alone? Why don't you do something with it? Maybe buy some new equipment for the lab."

"Stupid? Luo Hao is full of tricks." Zhuang Yongqiang said disdainfully, "No borders, hey, can there really be no borders?"

"Yes, you don't know Doctors Without Borders, right? I have a senior brother who works for Doctors Without Borders. Doctors Without Borders was founded in Paris on December 1971, 12. The original members were all French doctors and journalists who firmly believed that all people in the world have the right to medical care."

"Later, in 1999, Doctors Without Borders won the Nobel Peace Prize."

Zhuang Yongqiang looked at his daughter's clear yet stupid eyes and pondered for a few seconds.

"First, go back and take a look at who the Nobel Peace Prize winners are and see what kind of people they are."

"???"

Zhuang Yan took out her phone and was about to search when Zhuang Yongqiang continued, "Xiao Yan, do you believe in borderlessness?"

"..."

"In the past few years, those naive capitalists believed that capital has no borders, but they were skinned and eaten by others. Don't believe this. There is no such thing as capital without borders, including doctors. France, if they had surrendered a few days later..."

"Dad, why do you keep talking about this? It's all old news from World War II."

"Well, let me tell you something serious." Zhuang Yongqiang said seriously, "Your senior brother Luo Hao did the right thing in this matter!"

"???"

"He's not stupid. Luo Hao is a very smart guy. You should watch and learn more. Besides interventional surgery, do as much work as you can."

Zhuang Yan always felt something was wrong, so she crawled on her knees to her old father on the sofa, hugged Zhuang Yongqiang's arm, and meowed a few times like a kitten.

Zhuang Yongqiang's heart softened, but he immediately remembered the confidentiality regulations.

"Xiaoyan, you are an adult now, so you should pay attention to what I say to you." Zhuang Yongqiang thought about it and changed his words.

"Ah."

"You can look for information yourself. Those things about the revision of textbooks are all caused by people who have been paid. As for whose money it is, it is difficult for us to say, and we cannot say."

"what?"

"It's just like accepting red envelopes from patients. If you take someone's money, you have to worry about whether you will be sued." Zhuang Yongqiang said, "The country is not like an individual. If you take someone's money, hey. Bullshit no borders, don't you still have your own financial backers behind it?"

Zhuang Yan didn't quite agree with what her father said, but she didn't refute it.

"It would be really frustrating if you really have no choice. Things are not peaceful recently, so you'd better stay at home. Otherwise, why would I agree to let you come back?"

"I know~~~"

"Be serious." Zhuang Yongqiang said seriously.

Zhuang Yan showed a fierce expression.

"I know, there must be something wrong with the professor who studies giant pandas."

This one sentence was like a bucket of cold water poured over his head, and Zhuang Yongqiang felt cold all over.

"you……"

"Dad, I got into the top two medical schools in China and I'm a graduate student. I have a very high IQ!" Zhuang Yan pouted. "Ever since I met Professor Zhang, I feel like Senior Brother Luo is being secretive when talking to you, as if Professor Zhang doesn't even exist."

"Now that you're talking to me about foreign funds, I'll immediately think of Professor Zhang taking money from the International Society for the Protection of Animals."

"Dad, you underestimate me. I always tell my best friend that as long as you don't betray your country, I will help you with anything. Cheating and the like are just small matters!"

Zhuang Yongqiang did not comment on Zhuang Yan's words and looked at his daughter with complicated eyes.

The child is not stupid, he just lacks some social experience.

Yes, Zhuang Yan obtained a master's degree from the top 5 medical university in the country based on her own ability. It is impossible that she doesn't have a high IQ.

Moreover, she was extremely meticulous and could even connect these things together.

Although he missed the mark, he was not far off.

"Dad, is this confidential? If it's inconvenient to say, just blink."

Zhuang Yan asked with a smile.

Zhuang Yongqiang stretched out his finger and scratched Zhuang Yan's nose, then laughed, "No, don't think about it."

"You say no, but your body is honest."

Zhuang Yongqiang was stunned. How could this kid say anything and make jokes without any sense of the meaning?

"If you don't tell me, then it must be there. I know!" Zhuang Yan blinked cleverly.

"What do you know?" Zhuang Yongqiang asked.

"If I encounter anything like this in the future, I will stay away from it immediately and don't get involved. It's troublesome."

Zhuang Yongqiang smiled and nodded, she really knew.

"Dad, you said that Senior Brother won't go to America, right?"

"All domestic MRIs have entered the Union Hospital, so there is not much need for foreign ones." Zhuang Yongqiang said this "nonsense".

However, Zhuang Yan understood what her grandfather meant.

Concorde, that’s Concorde.

When the top three hospitals were being evaluated, they didn't even prepare any documents, which left the relevant responsible personnel in the Ministry of Health at that time and the current National Health Commission speechless.

No matter what others do, in the end we still have to hold our noses and make Union Medical College Hospital a Grade 3A hospital.

There are countless talented people in PUMC, and the whole city of Beijing would tremble when any one of them speaks. Besides, PUMC can't even make it into the top three, so what's the point of this review?
If Peking Union Medical College did not think it was acceptable, that the quality was not much worse than foreign products and that it would not affect medical treatment, domestic MRI would never be allowed in.

This event is of milestone significance, and Concorde itself is part of the milestone.

Although there is still a gap in indicators such as resolution, it has already achieved a breakthrough from 0 to 1, and it will be easy to catch up next.

The gap between China and abroad has obviously narrowed, so there is really no need for Luo Hao to go abroad.

Moreover, in the current environment, going abroad is too risky.

Even if we don't take the money from the financial backers of Doctors Without Borders, what if we can't explain it clearly?

The father and daughter have a good understanding.

"Eat, stop talking."

"Let's go eat."

"Dad, I want to have an interventional surgery." Zhuang Yan hugged Zhuang Yongqiang's arm and started to act coquettishly.

"Stop joking." Zhuang Yongqiang said seriously, "Don't you know how good Luo Hao's diagnostic skills are? It's enough for you to learn for a lifetime. Let Luo Hao and Chen Yong do the interventional surgery."

……

"Ah!" Luo Hao sneezed.

"Have you caught a cold?" The girl handed over a tissue.

"No, maybe someone is talking about me." Luo Hao took the tissue with a smile and wiped the back of the girl's hand with his fingers.

"It's itchy, stop it." Wang Jiani received a push notification on the phone in her hand, and she clicked it.

An AFP-style photo appeared in front of Wang Jiani.

Although Wang Jiani edited the video herself, she was still stunned when she saw this photo.

"Luo Hao! This is what you want!"

(End of this chapter)