White armor

Chapter 32 The Big Pit
"Hello, Teacher Zhou." Wen Youren said politely.

"Xiao Wen, why are you looking for me so late?"

"Teacher Zhou... I want to carry out some interventional surgeries recently, but I am not fully prepared and I am unsure. I would like to ask for your advice."

"What did you say? Interventional surgery?!"

The voice on the other end of the phone suddenly became louder and sharper, hurting Wen Youren's eardrums.

How is this going?

Wen Youren just lied casually, but unexpectedly, as if he stepped on Teacher Zhou's tail, the other party jumped up on the other side of the phone.

Wen Youren even felt that the gentle teacher Zhou would follow the radio waves and come out of his cell phone in the next second to give him a big pussy.

What's going on here? !

"Teacher Zhou, I...I..." Wen Youren didn't understand the other party's attitude and did not dare to speak casually.

"Why are you willing to engage in such crooked ways!" Teacher Zhou was furious.

"..."

Wen Youren deeply agreed with the teacher's words.

The other party cursed a few words angrily, but Wen Youren was as happy as if he had met a close friend.

It was like Teacher Zhou was scolding Luo Hao, scolding Luo Hao for himself.

Crooked ways, yes, crooked ways! !

"Teacher Zhou, calm down, calm down, don't get so angry." Wen Youren waited for the other party to take a breather and pause to rest, "I was forced to do nothing."

So Wen Youren began to tell Teacher Zhou some recent things that happened at the Mine Headquarters.

Add oil and vinegar, the oil is peanut oil, and the vinegar is old vinegar. Wen Youren talked about the whole thing impassionedly.

Those who heard about his situation of being suppressed and slandered shed tears.

Especially when Luo Hao stood on the stage and used the microphone to ridicule himself for medical treatment, let alone fighting. In the end, he was hugged by Lin Yuming and said that giving him a chance would be useless.

As Wen Youren spoke, he felt so sad that he almost cried.

"Oh, it's just puncture and ercp. It's nothing." Teacher Zhou didn't care about Wen Youren's situation at all. When he heard that it was not a treatment for liver cancer, he returned to his previous calm demeanor.

"Teacher Zhou, they have gone too far. I think we will soon get involved in the treatment of liver cancer."

Wen Youren is not stupid either. After a conversation, he understood the other person's seven inches and began to stimulate Teacher Zhou.

"Hmph! A bunch of bullies are doing interventional treatment for liver cancer. They use high-pressure syringes to inject drugs and contrast agents. Cancer cells are all over the body. I really don't know what they think! Is this treating a disease? This is killing people! !"(Note)
"Mr. Zhou, please tell me carefully. I don't know much about interventional surgery, but I was forced to make some changes." Wen Youren asked.

Among the completed medical records and patients, Wen Youren really couldn't find anything wrong with Luo Hao, so he had an idea and started consulting with this expert in hepatobiliary surgery in the provincial capital.

"Treatment for liver cancer is mainly surgery in the early and middle stages, and radiotherapy and chemotherapy in the late stage. Those who are involved in interventional treatment insist on making this area their surgical scope, which is nonsense."

Wen Youren listened quietly.

But Teacher Zhou just went around in circles and said that interventional doctors should not have long hands and extend their hands into the treatment range of the hepatobiliary department.

This is an academic dispute in the medical field, and it is not what Wen Youren wants to hear.

For similar things, the public is right and the mother-in-law is right. The butt determines the head. It is not just the big boss with the highest status in the world who has the final say.

For example, in the "Liver Cancer Treatment Guidelines", when interventional surgery was in full swing ten years ago, there was not even a word about intervention.

Guidelines for entry into interventional procedures are only a matter of recent years.

Without him, it's just that the big boss of hepatobiliary surgery has a high status in the world.

After the other party calmed down a little, Wen Youren guided, "Teacher Zhou, I also think this kind of surgery and technique are not good. Is there anything else wrong with them? Can you elaborate on it?"

"There are so many problems." A disdainful snort came from the other side, "Not to mention anything else, they use iodized oil to treat liver cancer. Look in the manual and see what it says."

"Ah?!" Wen Youren exclaimed subconsciously.

He felt like he had discovered a new world, and his heart was beating fast.

"The instruction manual of lipiodized oil clearly states that it is a positive contrast agent for X-ray diagnosis. It is used for bronchography, hysterosalpingography, sinus, parotid duct and other cavities and fistulas." (Note)
"There is no treatment for liver cancer?!" Wen Youren was surprised.

"Of course not." Teacher Zhou replied, "They use medicines off-label and put the patient's safety at great risk! I said that interventional surgery is a crooked way, and I am not just saying it in vain."

"Does the Food and Drug Administration not care?"

Wen Youren's heartbeat accelerated, his mouth was a little dry, and he swallowed hard.

But there was no secretion at all in his mouth, it was dry.

"Whatever." Teacher Zhou said disdainfully, "Because there was no relevant treatment range in the instructions, we stopped importing it for a while. Guess what happened?"

"What's wrong, Teacher Zhou?"

"These idiots are searching for iodized oil all over the country and insist on continuing to perform surgeries. Tell me, what the hell is this!"

"As a result, the French company raised the price from the ground up, and a pill of two to three hundred yuan directly increased by 1000 yuan."

The price increase and the indications in the instructions are two different things, but they were mixed up by Teacher Zhou at this moment.

It seems that he has indeed had a long-standing grudge with the interventional department and has been talking out loud.

"Mr. Zhou, if you look at it this way, the interventional department really shouldn't perform surgery." Wen Youren agreed.

"It's interventional treatment for liver cancer!" Teacher Zhou emphasized the key point.

"exactly."

"Iodized oil cannot enter the bloodstream. The instructions are clearly written in black and white, but these guys are taking medicine outside of the instructions all the time! It's really not a thing."

Wen Youren braced himself and listened to Teacher Zhou scolding people for a while. Finally, he told him not to do interventional treatment for liver cancer, and then hung up the phone.

A phone call can pay off.

But Luo Hao had never undergone interventional surgery for liver cancer, and Lin Yuming was watching.

Wen Youren began to carefully consider the matter in his mind, and gradually he came up with an idea.

If Luo Hao doesn't do it, then I can encourage him to do it.

As long as interventional surgery for liver cancer is performed, iodized oil must be used.

There are some things that cannot be stopped even if weighed at four ounces or a thousand pounds.Iodized oil cannot enter the blood. Check the instructions yourself to make sure. If this is the case...hehe.

He lowered his stance and let Luo Hao do it with...the master who stabbed him in the back.

then!

Wen Youren didn't know that when he thought of this, a sincere smile appeared at the corner of his mouth.

That's it!

If you dare to cheat on me, just wait! !
……

……

Luo Hao didn't know what happened on Wen Youren's side. He went to work normally, received medical treatment normally, and operated normally.

System tasks are a piece of cake.

Early in the morning, Luo Hao came to the hospital. Wen Youren, wearing clean white clothes with obvious creases, was standing in the corridor talking to Wang Guohua.

Seeing Luo Hao coming, Wen Youren waved enthusiastically, like an old friend.

"Ronald, come here."

Oh?

Luo Hao felt something was wrong.

Although his mental power only increased by 1 point, Luo Hao could feel a huge change.

Now my sixth sense is developed.

Maybe it was just a guess, but Luo Hao felt wary when he saw Wen Youren's smiling and amiable look.

"Good morning, Director Wen." Luo Hao said with a smile.

"I was about to tell Master." Wen Youren said, "A patient came to me and asked for liver cancer surgery."

"Oh." Luo Hao said calmly.

Do you want to give up the surgery to yourself?

Luo Hao felt that this was not possible.

Now, not only are we on the same page as Wen Youren, our relationship is not much better.

"Don't you know how to perform interventional surgery? Make an image for me before the operation and do a simple embolization with iodized oil." Wen Youren said.

Luo Hao was confused, what happened to Wen Youren today?
"A friend got a treatment plan in Shanghai, but he can't be admitted to the hospital. I wonder if Ronaldinho can do it?" Wen Youren put the question on his "friend".

"Let me ask about this." Wang Guohua said in an angry voice without doubting that he was there, "A few years ago, a patient went to Dongfang Hepatobiliary Surgery for surgery. I helped contact him. It was indeed said that he had to undergo an interventional surgery before and after the operation. .”

"Yes, Master." Wen Youren said with a smile, "The addition of interventional surgery can significantly improve the success rate of liver cancer treatment. No one did it in the past. The amount of surgeries I have is too large and I don't have time to learn. It's better now. A small conch fell from the sky."

The smile on Luo Hao's face remained unchanged, but he became increasingly certain that something was wrong with Wen Youren.

The sixth sense is really interesting. No wonder some people always talk about women's intuition. Looking at Wen Youren's smile, Luo Hao's mind had already flown to the other side of the sky.

But Luo Hao didn't know what Wen Youren wanted to do.

"Ronald, you and Xiao Chen take the patient in." Wang Guohua waved his hand and said without any doubt.

"Okay."

After admitting the patient to the hospital, Luo Hao thought for a long time after asking about the medical history, but he didn't know what medicine Wen Youren sold in his gourd.

eccentric.

Is Wen Youren really enlightened?

Or is it because he wants to sincerely develop new technologies and better treat diseases for Wang Guohua's sake, so he willingly wants to add interventional surgery?

Since Luo Hao is open-minded by nature, he will put things aside for the time being.

"Luo Hao, don't you think something is wrong?" Chen Yong asked after writing the medical record.

"what happened?"

"Let's go have a cigarette."

The two came to the fire escape. Chen Yong did not take a cigarette, but lowered his voice and asked, "The patients admitted by Director Wen also take the initiative to undergo interventional surgery. This is not in line with his personality."

"Ha." Luo Hao laughed, "What kind of persona is Director Wen?"

"Be serious, I always feel that there is a big hole in this matter." Chen Yong said seriously, "In the past, several deputy directors in the department were squeezed out by him using various means."

"For example?" Luo Hao asked as he didn't know the old history of general surgery.

"I don't know the details. You can ask my master. By the way, my master's copyright fee has come down. Let me ask you when you have time to have a meal together."

"noon?"

"Okay." Jiang Wenming did not call Luo Hao, using ordinary standards to judge that this guest was not sincere enough.

But Luo Hao didn't care. He was very interested in Jiang Wenming.

During the surgery that day, Jiang Wenming not only had to treat the disease, but also considered the future of the two impulsive people.

Although the patient's condition was very serious and his goal was not achieved, this also created enough goodwill in Luo Hao's heart.

They made an appointment to have dinner at Piyang at noon, and Luo Hao went to work on his own.

At noon, Luo Hao came to Piyang for barbecue as scheduled.

Boss Ding had reserved the only single room for a long time. After the three of them sat down, Luo Hao asked curiously, "Teacher Jiang..."

"Don't call me teacher, call me brother." Jiang Wenming waved his hand.

"Brother Jiang, I heard someone said that you wrote about being surrounded by beautiful women. Is that true?"

"Yeah." Jiang Wenming nodded.

His expression was dull, without any trace of pride, as if he was talking about someone else's business.

"This name... is awesome." Luo Hao didn't know what to say.

"Hahaha." Jiang Wenming laughed, "Do you think it's too vulgar?"

"Yeah." Luo Hao didn't care about Jiang Wenming's face and gave a positive answer directly.

"There are so many books and so many games. Who would click on it if it has a literary name? It is vulgar and elegant. When you look at the readers and players, they are surrounded by beauties. Do you want to click in and take a look?"

"Yes." Luo Hao answered honestly, "What types of beauties are there? Brother Jiang."

"There are all kinds of things you can't think of. No company can't make them. The types I wrote are a little short, and recently the game company asked me to add some more."

"Oh?"

"Let's put it this way." Jiang Wenming said casually, "When the RB economy next door was good, the Yujie type was very popular, and we are similar. There used to be a book called "I'm Really a Big Star", and the author liked Yujie."

Luo Hao has heard of this book, but has not read it.

The name was really simple and direct, similar to what Jiang Wenming said.

"When the economy gets a little worse, the style begins to be chaotic. The economy continues to decline, and the childhood sweethearts style dominates the market. In the beginning, the childhood sweethearts fall from the sky, and the protagonist is responsible for making money. Later, the economy becomes more and more severe, and the protagonist in the book directly picks up the innocent couple Kill the female Bodhisattva."

"Uh~ha~" Luo Hao expressed his incomprehension about the three words Chunqing, Hundred People Killing, and Female Bodhisattva being mixed together, and made two weird sounds.

"I just gave it a try, but I didn't expect it to work." Jiang Wenming said with a smile, "Now I can rest in peace of mind in the outpatient clinic. By the way, Director Wen talked to me a few days ago."

Jiang Wenming didn't seem to want to talk about his own affairs. After a brief chat, he brought the topic to the hospital.

This was what he was looking for. Luo Hao sat upright and listened carefully to Jiang Wenming's words.

"Director Wen asked me to admit five liver cancer patients every month, otherwise my bonus will be deducted."

"Brother Jiang, don't you care about the money?" Luo Hao asked.

"I don't care about money, but this matter is interesting. In addition, today Xiao Chen said Director Wen's changes, don't you think something is wrong?"

Jiang Wenming's thoughts were the same as Luo Hao's.

Luo Hao answered seriously, "I feel something is wrong, but I didn't understand it."

"I didn't understand either." Jiang Wenming warned, "But you should be more careful in the general surgery department. Director Wen does this and does it enthusiastically. It must have deep meaning."

Luo Hao smiled.

"By the way, Brother Jiang, I heard that there used to be some deputy directors with strong technical abilities in the general surgery department, but why did they all leave later?"

"I had just arrived at that time as a junior doctor. Director Wen had just become the director. The first step was to send an unsociable attending physician to the emergency department. Is there a shortage of people in the emergency department? The hospital asked the general surgery department to send people to support. Wen That’s what the director did.”

"It seems fine, but it usually takes half a year to support the emergency department, and several people take turns to go there. After Lao Hua was sent there, he has been squatting in the emergency department, responsible for issuing 120."

Luo Hao nodded.

"From then on, anyone who performed better than Director Wen in surgery was squeezed out for various reasons. There was even a deputy director who did nothing wrong, but Director Wen directly stopped his surgery."

"Does the courtyard not care?" Luo Hao asked.

"As long as there is no medical accident, there is no reason for the hospital to take care of the internal problems of the department. Director Wen can also tell the hospital leaders that they are all thorny, but do you think the hospital leaders don't know the actual situation?"

"If he can go up, he will naturally have the support of the leadership of the hospital. It is inevitable that the party will be united and oppose differences."

Jiang Wenming talked lightly about what happened in the general surgery department in the past ten years. He didn't scold Wen Youren in one sentence, but every sentence seemed to scold Wen Youren.

"Brother Jiang, you must have been kicked out because of these things." Luo Hao said with a smile.

"Who said that? I applied for it myself." Jiang Wenming said, "The original work of the popular game must be as awesome as possible. Now there are many manufacturers who come to me for custom orders, and it can be a big order. There’s no need to be annoying in the department.”

"Are you ready to resign?" Luo Hao asked.

Jiang Wenming shook his head, "I'm not good at socializing, so why should I resign? I've been a doctor for half my life, and I can't afford to have a little money, so I still feel safe staying in the hospital. Let me tell you about Ronaldinho, it seems that the upper limit of our doctor is not high, but the lower limit is It’s really high.”

Luo Hao nodded repeatedly.

"I want you to be careful. Chen Yong has done a few ercp cases recently. What do you think of his level?"

Jiang Wenming changed the topic very quickly and a little abruptly.

"The level is quite high."

"I think so too. If you have time, let Chen Yong do more surgeries." Jiang Wenming used the word "put". He had put Luo Hao in the position of a superior doctor.

"Brother Jiang, you are too polite. I am also a young doctor."

"Young doctor?" Jiang Wenming's expression is quite interesting.

"affim……"

While several people were chatting, Boss Ding opened the door curtain to serve the food.

"Luo Hao!"

Zhou Tianci happened to pass by and was slightly startled when he saw Luo Hao, and immediately walked in with a smile on his face.

"Godsend, why are you here?" Luo Hao asked.

"Aren't you bringing... someone to do a heart color ultrasound?" Zhou Tianci saw that there were strangers, but he didn't speak clearly.

"It's good."

"Okay." Zhou Tianci was beaming, "I used to think that ventricular septal defect was a serious problem. If I wanted surgery, I would need to use a sternum saw to cut open the sternum and then perform surgery to sew it up."

As he spoke, he made a gesture on his chest.

"As a result, the operation took less than an hour, and there was nothing wrong after the operation, just like there was no operation. After the operation, the ventricular septal defect was gone."

"It's good that the operation was successful." Luo Hao smiled.

"Then I won't disturb you." Zhou Tianci only said a few words, not daring to disturb Luo Hao, and left.

Luo Hao did not force Zhou Tianci to stay, closed the door, ate and chatted with Jiang Wenming and Chen Yong.

"Is there any surgery on the weekend?" Jiang Wenming asked.

"No, I have to go to the provincial capital on the weekend."

"Oh? What are you going to do?"

"My car needs maintenance."

Jiang Wenming was startled for a moment and looked Luo Hao up and down, as if he had heard something extremely ridiculous.

"Luo Hao, your shabby car still needs to be repaired in the provincial capital?" Chen Yong was straightforward and asked what Jiang Wenming found funny.

"Because it's too dilapidated, we don't have anywhere to repair it in Donglian City." Luo Hao said calmly.

Jiang Wenming changed the subject and talked about something lighter.

Although he is not very old, he is very knowledgeable and there are many things that Luo Hao has never heard of.

After enjoying the meal, Luo Hao's affection for Jiang Wenming increased a lot.

After dinner, Jiang Wenming wanted to pay the bill, but Boss Ding said that someone had already paid for it.

"Ronald, it's really hard to treat you to a meal." Jiang Wenming said helplessly, "This meal is your treat. Let's find time to get together next week. I've agreed to come."

Luo Hao and Jiang Wenming said a few polite words. When they saw Zhou Tianci at the door of the Piyang BBQ, they said they would go out to find Zhou Tianci first.

"Tianci, you are too polite." Luo Hao smiled.

"That's right. Luo Hao, you don't even know how grateful Section Chief Duan is to you." Zhou Tianci leaned into Luo Hao's ear, "Are you free on the weekend?"

"Huh? What's wrong?"

"Section Chief Duan saw that your car was too old, so he asked me to order it two or three times. I happened to be going to the provincial capital on the weekend, and someone in the imperial capital made a reservation."

Zhou Tianci spoke mysteriously, as if there was something shady about him.

"Oh? What game? Ha, don't ask, don't ask." Luo Hao laughed.

"We are all our own people, there is nothing we can't say." Zhou Tianci said, "Importing coal from Mongolia, our mining area has successor equipment, which can be used."

Luo Hao was not interested in these things. He listened with his left ear and irritated with his right ear.

"Section Chief Duan has been thinking about how to express his gratitude. This time, two coal bosses from Inner Mongolia were responsible for the reception. One of them opened a 4S store in the provincial capital."

"You can get a discount when buying a car." Luo Hao said with a smile.

"We don't ask him for nothing, it's just a discount. Whether the business succeeds or not has nothing to do with buying a car, so don't worry."

"Forget it, thank me for accepting it, just buy a car."

"Why are you so polite! Do you have anything going on over the weekend?" Zhou Tianci was a little unhappy.

"I drive to the provincial capital on the weekend."

"That's just on my way." Zhou Tianci said, "It's settled, you go take a look and we won't talk about anything suitable."

……

……

Note 1: Many general surgeons have similar thoughts and are particularly helpless.

Note 2: This is a koan.

In the 60s, Dr. RB performed interventional treatment for liver cancer for the first time, and in the 80s, he began to use iodized oil for interventional embolization surgery for liver cancer.

At that time, there was no relevant application in the instructions for iodized oil.

Due to conflicts with the Food and Drug Administration, iodized oil produced by the French company Gerber could not be imported around 2009.It is also true that Professor Xu Ke from the University of Traditional Chinese Medicine borrowed iodized oil from all over the country in order to perform surgery.

It was not until around 2013 that the scope of application for interventional treatment of liver cancer was added to the instructions for lipiodol, thus avoiding the embarrassment of off-label use of drugs.

This plot is true, with some elements of deduction. After all, it is a long time ago, and the people involved are all big guys who cannot be contacted. The details are guesswork.

(End of this chapter)