White armor

Chapter 313 The Most Unreliable Intern in History
"Oh? It's not convenient for you either?"

"Intervention is a marginal department. I chose intervention as a shortcut. At least the competition is not as fierce as in other departments." Luo Hao smiled. "For example, Director Pan of my Peking Union Medical College is an expert in the health care group. He failed to be selected as a doctoral supervisor many times before he was fifty. Peking Union Medical College is different from Medical University."

Shen Zizai sighed after being accidentally shown off by Luo Hao again.

As for what the show was about, Shen Zizai couldn't explain it clearly.

"Director, boys or girls?"

You just remembered to ask about gender? Shen Zizai laughed dumbly. It seemed that Luo Hao really didn't want to supervise graduate students.

"Boys, girls can't wear lead clothes." Shen Zizai said.

"Well, let's go take a look, and then give an explanation to Dean Jin." Luo Hao smiled, "Where is he?"

"It should be the operating room. Let me ask."

Shen Zizai made a phone call, asked clearly, and then went aside, covering his phone.

Luo Hao didn't follow.

Luo Hao listened to what he should listen to and didn't listen to anything he shouldn't listen to.

"Head nurse..."

"You are from the interventional department. What are you doing in the operating room? Have you picked up the order?"

On the phone, the head nurse of the operating room didn't give Shen Zizai any face at all and just turned him down.

Shen Zizai glanced at Luo Hao who was not far away.

"Ronaldinho is going, I'll take him to have a look."

"Professor Luo?"

When talking about Luo Hao, the head nurse of the operating room spoke in a slightly gentler voice.

"Ah."

"Is Professor Luo dating someone? Some say yes, some say no. Old Shen, give me a definite answer."

One of the head nurse’s hobbies is introducing people.

If Shen Zizai didn't have something to ask the head nurse of the operating room, he would have definitely rushed over.

"I have a girlfriend. She is raising pandas at Harbin Animal Hospital. She said that when Professor Luo returns to the capital in a few years, she will go to Beijing Animal Hospital with him."

Speaking of this, Shen Zizai felt a yearning in his heart. How great it would be if he could raise a panda himself.

"Really? What a pity." The head nurse sighed.

"Dean Jin has a friend whose child wants to apply for Xiao Luo's graduate program. I just asked him, but Xiao Luo didn't want to take him. It took me a long time to get him to agree to go and take a look."

"Is that so? Come on. Old Shen, I'm telling you, this won't happen again."

Shen Zizai sighed deeply in his heart. He was not useful, so Luo Hao could be used as soon as he asked.

What's the matter!
I am an old director who has worked for decades, but I don’t have as much face as Luo Hao.

"Xiao Luo is gone." Shen Zizai only complained for 0.5 seconds.
He turned around and gave Luo Hao a smile.

"Coming, Director."

When Luo Hao saw Shen Zizai begging for help, he knew that he couldn't get into the operating room, and he was secretly happy.

Shen Zizai couldn't get in, but he had planted an insider in the operating room.

Old Liu was in the operating room, so the head nurse had to give him some face.

While changing clothes, Shen Zizai was shocked to see the sunburned areas on Luo Hao's body, but he resisted the urge to ask what had happened during this period.

After changing clothes and walking out of the locker room, Luo Hao saw Liu Yiyi standing at the door.

"Professor Luo." Liu Yiyi smiled like a flower.

"Where are you waiting for me?"

"Well, that child had surgery with someone else today, and I was watching secretly." Liu Yiyi hesitated to speak.

Luo Hao noticed Liu Yiyi's mood change, but he didn't ask. Liu Yiyi had already conveyed some things to him silently, so it was enough to know, there was no need to explain it clearly.

Trainee, intern, and regular training student, Luo Hao has made it step by step.

I was scolded so badly by my boss back then.

It's the same for myself. It would be a miracle if students could satisfy the clinical teachers.

Liu Yiyi, in particular, is somewhat of a perfectionist, as can be seen from the way she maintains her figure and the way she chooses a boyfriend.

"Let's go get an eye surgery. What kind of surgery?"

"Orthopedics, open fracture of the left lower leg, tibial plateau fracture, preparing for elective fracture open reduction and internal fixation under combined spinal-epidural anesthesia."

Liu Yiyi spoke competently, as if reporting a medical history.

Shen Zizai watched Liu Yiyi reporting the situation to Luo Hao and felt that he was completely useless, so his mood changed slightly.

It seems that I can only help Luo Hao perform surgery, and Luo Hao can handle everything else.

It's an operation, and it's not that I can't do it without myself.

If I don't hold on to it, countless people will sell out Luo Hao for this benefit.

Not to mention others, Yuan Xiaoli was eager to help Luo Hao do everything.

Luo Hao didn't notice Shen Zizai's mood changes. He and Liu Yiyi came to the door of the operating room. Liu Yiyi kicked open the airtight door.

At first sight, Luo Hao was stunned.

To be honest, in the hospital Luo Hao is considered to be both civil and martial, knowledgeable, and with the support of the big guys and all kinds of gossip, Luo Hao is almost an hexagonal warrior, invulnerable.

However, even so, Luo Hao was shocked when he saw it.

A young anesthesiologist was drawing liquid from a saline bottle. The suction tube was still inserted below the liquid level in the saline bottle. From a distance, one could see sputum floating on the saline.

He drew a tube of saline solution, which contained sputum foam. The young man did not notice what he had done, and after drawing the saline solution, he started the next step - dispensing medicine.

"..." Luo Hao was speechless.

What the hell is going on.

I have seen students who fainted at the sight of blood, students who picked up instruments from the ground and stuffed them into the hands of teachers who were performing surgery, and students who couldn't even write a medical record clearly after three months.

But Luo Hao had never seen anything like this.

Shen Zizai was also stunned. He knew it was over.

That's it. Let alone Jin Rongcan, even if Geng Qiang came forward, Luo Hao would definitely not accept it.

Liu Yiyi's face also looked unhappy. She walked in and kicked the anesthesiologist in the calf.

"Xiao Liu, what's wrong?" The anesthesiologist was selling orders. When he saw Liu Yiyi come in, he didn't know what had happened.

Luo Hao and Shen Zizai also walked into the operating room. Luo Hao just stood in the corner without saying a word.

Liu Yiyi winked at the anesthesiologist, and the anesthesiologist scratched his head as he followed Liu Yiyi's gaze.

"Xiao Shao, let me do it. You just watch it." The anesthesiologist didn't say much. He took the things and put them aside and started to prepare again.

Luo Hao had nothing to do, so he looked through the patient's medical records.

The orthopedic medical record was written very roughly, and in Luo Hao's opinion, every word could be considered a dietary therapy accident.

These objective indicators are only meaningful if you look directly at the test results.

Preoperative examination showed normal liver and kidney function, without hypokalemia, hypermagnesemia, hypocalcemia, hypoproteinemia, dehydration, acidosis, hypercapnia, cachexia, and ECG showed first-degree atrioventricular block.

"The child is too frivolous and not calm at all." Shen Zizai said in a low voice.

"Haha, he's too young and inexperienced." Luo Hao commented.

"Children nowadays are more stubborn than each other." Shen Zizai began to nag involuntarily, "My child still doesn't know how dangerous society is. The summer vacation is over, and I will find him a factory to work in during the winter vacation."

"The 00s are so stubborn, and the 10s are even more so. What a useless director."

"Why is it useless? I saw a statement online that one must take the children on a green train to experience the sufferings of the world." Shen Zizai cared about this very much and chatted with Luo Hao casually.

"In Xiehe, there was a professor's child who had the same problem. He actually found a factory and asked his son to move bricks. Green train? Compared to moving bricks, it's simply a luxury."

"What happened next?" Shen Zizai asked.

"His son said before he entered the factory, if he didn't believe me, he would be allowed to work there for the rest of his life. At most he would have a vacation, and then he would have to pick him up and take him to school."

"..."

Shen Zizi was speechless.

Kids nowadays are very smart.

"During the holiday, the child's bad habits remained unchanged. In the end, he even learned to smoke, drink and play cards with his coworkers. The teacher was dumbfounded. What on earth is going on?"

"!!!"

"There's nothing we can do. Kids these days are all stubborn." Luo Hao didn't act like a young man at all when he said this.

"Ye Qingqing from Director Ye's family is a tomboy who has loved fighting since she was young. She came to visit my mentor a few days ago and found me. I guessed that she wanted to go to the Russians' side and play with guns."

"Ye Qingqing, I've met her." Shen Zizai followed Luo Hao's words.

"Later, I played Barrett and scared Boss Lou, but I managed to send him back safely." Luo Hao said with a smile, "It's okay, he will be fine when he grows up."

"Xiao Luo, when did you grow up?"

"My father died when I was a child, and I grew up." Luo Hao replied calmly.

"..."

Shen Zizai was silent.

Luo Hao seemed unwilling to think further. He lowered his head and flipped through the medical records, making a rustling sound.

"Doc, I...I can't breathe."

The patient's voice was a little hoarse.

Luo Hao glanced at the patient and then at the ECG monitor.

Blood oxygen saturation fluctuates between 95-97%.

"It's okay, it might be caused by nervousness." The anesthesiologist also took a look at the blood oxygen saturation on the ECG monitor, and he didn't think there was anything wrong.

"What's your name?" Luo Hao walked over and asked.

"Ma Jianguo." the patient replied.

"how old?"

"35 is old."

"How did you get hurt?"

Luo Hao asked one question after another, and Liu Yiyi felt something was wrong.

Generally speaking, Professor Luo rarely interferes in other patients' responsibilities. Even if he performs some surgeries, he would only lend a hand on the surface.

In Liu Yiyi's impression, Professor Luo is very good at pretending to be confused.

Professor Luo has grasped the essence of the four words "it's rare to be confused".

But now he bypassed the anesthesiologist and started chatting with the patient.

It looks like a chat, but in fact it can verify many problems.

After answering only a few questions, the patient's voice became increasingly quiet and he became breathless.

"Old Liu." Luo Hao greeted.

"Professor Luo." Liu Yiyi noticed something was wrong and walked to Luo Hao.

"Check the vecuronium bromide, maybe it was pushed wrong."

“!!!” Liu Yiyi was stunned.

Vecuronium bromide for injection is mainly used as an auxiliary drug for general anesthesia, and is used for tracheal intubation during general anesthesia and muscle relaxation during surgery.

This drug should not be used at all during combined spinal-epidural anesthesia.

Seeing that the patient had difficulty speaking and kept saying that he had difficulty breathing, Liu Yiyi judged that it might indeed be caused by vecuronium bromide.

She immediately pulled the anesthesiologist to the operating table to find an empty medicine bottle.

Just as Luo Hao guessed, Liu Yiyi soon found the bottle of vecuronium in the trash can. The anesthesiologist on duty looked unhappy and wanted to curse, but he still endured it in front of the patient.

RR 23 times/min, NIBP 120/75 mmHg, HR 78 times/min, blood oxygen saturation 92%.

Luo Hao glanced at the ECG monitor and said, "Give oxygen via mask."

The anesthesiologist on duty was a little confused. For a moment, he was not used to Luo Hao giving medical orders in the operating room.

Liu Yiyi immediately found the mask and connected the oxygen tube.

"Pure oxygen?"

"Ah."

After adjusting the air to pure oxygen, Luo Hao put the mask on the patient's face.

"It's okay, relax and breathe normally. This is a side effect of anesthesia, it's normal, don't be nervous, relax, relax." Luo Hao comforted softly.

But faced with the horror of hypoxia, the patient became a little panicked.

Air is everywhere and is one of the most important things, but it is often overlooked.

Suddenly, he couldn't breathe. No matter how hard he tried, he couldn't breathe. He felt so suffocated that his hands started to move.

"Inject 2 mg of midazolam and 2 ml of flufenamide mixture intravenously."

"Neostigmine 5mg, atropine 0.5mg."

Luo Hao gave the medical advice in a very calm manner.

After the medicine was given, the patient was still struggling, but in less than a minute, the intravenous medication took effect and his struggling became much less intense.

The doctors performing the operation also realized that something was wrong with the anesthesia. They were operating with the knife while observing the ECG monitor.

20 minute later.

患者呼吸16~19次/分，血压123/78mmHg，心率65次/分，血氧饱和度98%。

The breathing difficulties have disappeared and I have fallen into a deep sleep.

Luo Hao took off his mask, looked for a few minutes, and seeing nothing else, turned and left.

"Luo..." The anesthesiologist on duty was about to call Luo Hao when he saw Liu Yiyi chasing him out. He sat down awkwardly, his isolation suit soaked through.

The intern didn't know what was going on and felt confused and helpless.

"Professor Luo." Liu Yiyi caught up, "Is the patient okay?"

"Well, it's okay." Luo Hao replied in a deep voice.

"Xiao Luo, what happened just now?" Shen Zizai asked puzzledly, not knowing what had happened.

"I guess the young intern drew the wrong medicine, vecuronium bromide, and the teacher in charge of him did not check it and directly injected the local anesthetic into the epidural space." Luo Hao described it calmly.

"!!!"

Shen Ziyi was stunned.

This is so fucking terrible!
One dares to pull, the other dares to push. After several checks, there is no match. This master and apprentice pair is really a perfect match.

"What's going on!" Shen Zizai scolded in a low voice.

Although taking a dose of vecuronium may not be a big deal, at most you may experience some breathing difficulties before the drug is metabolized, but what if?

The patient just now had no strength to speak and the symptoms are already obvious. If the condition gets more serious, he might stop breathing.

Although it is said that intubation can be performed at any time in the operating room, the patient's life should not be in danger, but that is not the case.

"Vecuronium was mistakenly injected into the epidural space because the name of the drug, dosage and other information were not promptly labeled on the syringe after the drug was drawn out. This is another typical case of failure to strictly implement anesthesia regulations and systems."

"Old Liu."

"exist."

“Anesthesiologists strictly implement the medication verification system in clinical work and must be familiar with the performance, adverse reactions, usage, routine dosage and interactions between different drugs.

Once an error occurs, it should be handled promptly, symptomatic treatment should be given, and the condition should be closely monitored to ensure the patient's life safety."

"This is what you asked for, right?"

"Yes."

"It all sounds like nonsense, but in fact, not a single word is superfluous." Luo Hao said as he walked out, "Forget about this kid. I'll go talk to Dean Jin. Old Liu, you should pay more attention to your work and be careful."

"It was really dangerous." Liu Yiyi nodded while feeling scared.

It almost became a medical accident.

"It's okay. I took a look when you were looking for the medicine bottle. Vecuronium bromide for injection is produced by Zhejiang Xianju Pharmaceutical Co., Ltd."

“???” Liu Yiyi was stunned.

"National Medicine Approval Number H19991172." Luo Hao said calmly.

Show off, show off without any concealment! Shen Zizai thought to himself when he heard Luo Hao say the national medicine standard number H19991172 from behind.

What's the use?

"After intravenous injection of 0.08-0.10 mg/kg, the effect was apparent within 1 minute, peaked within 3-5 minutes, and lasted for 30-90 minutes. In fact, the severity of the disease was at its worst, and the patient was fine without medication."

"Is this the characteristic of this medicine produced by Xianjun Pharmaceutical?" Liu Yiyi asked.

"Well, clinically speaking, it is the characteristics of the drug of this company. But I can't guarantee that the child knows to dispense the medicine according to the weight in kilograms. If too much is given, the consequences will be disastrous."

"Although there aren't many kids this fierce, we still have to be on guard."

When Luo Hao talked about tigers, he thought of the Siberian tiger taking a bath in a septic tank.

"I didn't expect this kid to be so unreliable." Shen Zizai said disdainfully.

"Forget it." Luo Hao smiled, "The substitute teacher is the bigger problem. He has just started clinical practice and doesn't know what she is talking about."

???

???

Luo Hao actually spoke up for the intern. Shen Zizai changed his mind and smiled without continuing.

It definitely wasn’t because of Dean Jin. The reason Professor Luo said that was because the other party was just an intern.

Young people are bound to make mistakes.

But the young man had no concept of sterility at all, and he even added the wrong medicine. He was careless and didn't know the severity of the disease.

Shen Zizai felt disdainful in his heart.

I guess Luo Hao was just being polite and giving the other person some face, and he didn't directly criticize him.

It seems that Xiao Luo has matured after returning from the United States? Shen Zizai suddenly thought of this.

If it were him, in the situation just now... Shen Zizai smiled. He would definitely not accept the student, but he would not get angry with him. Luo Hao's approach was right.

"Director, are you familiar with the oncology department?"

"It's OK. Some of our liver cancer patients were transferred here by them. But, Xiao Luo, I suggest you just contact Director Yang. The relationship between the oncology department and the radiotherapy department is a bit tense."

"Oh? What's the meaning?" Luo Hao didn't know about this, so he turned around to change his clothes and asked.

"What else could it be? They just snatched patients. In the past, the radiotherapy department didn't do chemotherapy, so patients were transferred back and forth. Yang Jinghe sent someone to the Chinese Academy of Sciences Cancer Hospital for further studies, and after returning, he went to the hospital to get the qualification to perform chemotherapy."

An ordinary director cannot do such a thing, but Yang Jinghe is not an ordinary person.

Luo Hao nodded. That was right. Yang Jing and the patients over there were enough to keep him well-fed. If there was a conflict between the two departments, there was no need for him to get involved.

Seeing Luo Hao nod slightly, Shen Zizai became more certain that Xiao Luo's temper had become much milder after returning from the United States.

This guy still needs to grow up.

Luo Hao can be said to have grown up overnight.

Luo Hao is mature and tactful, but he occasionally shows off his edge.

Looking at it now, Luo Hao has almost lost his edge. He even just helped to settle the matter with that intern who was messing around, without saying a word of blame.

Mellow!

Things that have been worn out by life should have become patinaed.

"Xiao Luo, when are you going back to Concord?"

"The situation has changed. I may not go back to Union Medical College." Luo Hao replied.

"What?" Shen Zizai asked casually, similar to a daily inquiry.

But Luo Hao's answer completely shocked Shen Zizai.

Not returning to Concorde?

What does it mean?
Union Medical College, Luo Hao, every time Shen Zizai heard Luo Hao mention these four words, there was light in Luo Hao's eyes.

Why don’t you go back to Concorde?
"It's not confirmed yet. Once there is confirmed news, I will definitely report to you as soon as possible."

Luo Hao wants to stay!

Shen Zizai no longer had the same guard against Luo Hao as before. He wished Luo Hao would stay, even if it meant sidelining him.

Does Ronaldinho need Corey's money?
Shen Zizai heard with his own ears that Luo Hao rejected the $1000 million sponsorship from Doctors Without Borders.

You can achieve financial freedom in just a thought.

Even so, Ronaldinho refused without hesitation. He certainly wouldn't care about the little money that Curry had worked so hard to earn.

Shen Zizai couldn't understand why Luo Hao didn't return to Union Medical College, but this matter must be related to the previous one.

Maybe Xiao Luo made a mistake and was exiled to Ningguta.

That’s great, let’s keep him in Ningguta for life, Shen Zizai showed a smile on his face.

Seeing the mature Luo Hao, a Luo Hao who was more mature than before but not greasy, Shen Zizai felt that... Luo Hao's sins were not in vain.

But Shen Zizai didn’t know what Luo Hao had encountered recently, and he didn’t dare to ask.

After changing clothes and leaving the stage, Shen Zizai thought for a while and prepared to ask Luo Hao to have dinner together in the evening.

Although it's not a welcoming party, we still have to get together.

I cried a lot during the time when Luo Hao was "dead".

Coming from the director's office to the doctor's office, Shen Zizai frowned when he saw a few people handing out flyers at the door.

Those people should be from the church. Their movements were awkward but their faces were full of piety.

Can Chinese people believe it? If you come to listen to the class, you can get it done by giving 10 eggs. Shen Zizai doesn't believe it if you really say how pious you are.

What the hell.

The security guards are really something. They said they were not allowed to enter the hospital casually, but they still made the place so chaotic.

Shen Zizai walked over with a sullen face, ready to chase the man away.

Just as he was about to speak, Shen Zizai heard Luo Hao's voice coming from the doctor's office.

"Aunt, what sect do you belong to? Orthodox? Catholic? Or Protestant?"

"We are Protestants..." someone answered.

"Protestant." Luo Hao interrupted her. "If that's the case, are you Anglican or Baptist?"

"Ah?" The woman was stunned.

I guess she hasn’t heard of what Luo Hao said.

Shen Zizai staggered.

He knew what Luo Hao was doing.

Just like performing surgery and writing papers, Luo Hao wanted to show off to that aunt.

This child, Shen Zizai sighed.

But how come Xiao Luo has researched this aspect? But then again, if it is so easy to drive people away, it is also a good thing.

What annoys me most is seeing this kind of people appearing in the hospital. Shen Zizai thought that if there was a divine light from heaven that could cure all the patients, he would believe it too.

That’s right.

"Are you Anglican or Baptist?" Luo Hao repeated.

(End of this chapter)