White armor

Chapter 322: After a good sleep, everything is fine
"what?"

Zhuang Yan was surprised that Meng Liangren pricked up his ears while packing up the paper shells, pretending to be busy, but actually carefully collecting all the information.

"I don't know the details, but Senior Brother Fan said that on the night Professor Luo went there, there was a shooting in Baltimore. It was large-scale and not like the usual robbery. And... there was another strange thing. Even the Baltimore Bridge collapsed that night."

"Oh, stop it, Director Yuan." Zhuang Yan said with a smile, "Senior brother is just a little better in technology, he is not a superman who wears his underwear outside, and he has nothing to do with the collapse of the Baltimore Bridge.

Besides, I also saw the news that the bridge was hit by a Singapore cargo ship. The captain was Ukrainian and the crew were Indians. "

"That's what I said, but I always feel that there is a connection." Yuan Xiaoli seemed to know something, but he was not in a position to say it out loud.

Meng Liangren just lowered his head and quickly packed up his things, pretending that everything had nothing to do with him.

……

"I always felt something was wrong after Professor Luo came back. Old Liu, have you noticed?"

The neurosurgeon asked.

"No, I feel fine. I will join the rescue as soon as I get back."

"Rescue? A dog? Hahaha." The neurosurgeon laughed.

"We are all cattle and horses, and you are making fun of a dog? It's a meritorious police dog and retired after being injured. I guess Professor Luo will adopt it and it will live a life of luxury in the future." When Liu Yiyi heard the neurosurgeon despising Luo Hao's behavior, she directly retorted.

"What about you? You can only retire after 65. If it's extended, you have to be 70. Your eyes are blurry and you can't even do surgery. Every day, the young director orders you around and scolds you like a grandson."

"..." The neurosurgeon was about to refute, but after thinking about it carefully, he felt that what Liu Yiyi said made sense.

"Let's not talk about retirement, let's just talk about the present. If you really encounter an emergency and the patient has AIDS, and you accidentally break the skin, you will be infected with AIDS and you will have to buy blocking drugs yourself. This is still in time. If not, you will be an AIDS patient."

The neurosurgeon's face turned grim.

"You have to have a conscience. You don't want to be eaten up and thrown into the trash."

"Old Liu, please speak properly." The neurosurgeon laughed uncomfortably, "I just said it casually, but you are really the anesthesiologist in Professor Luo's medical team, and you can't even take Professor Luo's joke."

Liu Yiyi sat next to the ventilator, her eyes constantly wandering over the ventilator, monitor and various tubes.

The operation had lasted for 8 hours and was finally coming to an end.

Although the operation was long, Liu Yiyi did not relax because of fatigue. She even drank a bottle of Red Bull to refresh herself.

Generally speaking, doctors are very opposed to drinking Red Bull, not because of how much taurine it contains, but simply because of the name.

It’s not much better than Wangzai, and is similar to dragon fruit.

The patient was an 55-year-old boy weighing 11 kg who developed epilepsy and his symptoms continued to worsen. He was admitted to the hospital for right frontal lobe epilepsy lesion resection.

The patient took valproic acid and levetiracetam on the morning of the operation, but had an explosive epileptic seizure before the operation, so the patient was rushed to the operating room from the pediatric ICU.

This patient was considered a semi-emergency patient, as he caught up with Liu Yiyi and had been following her until now.

Fortunately, the operation is about to end and the patient's vital signs are stable. Although the operation is slow, it is considered to be successful. Liu Yiyi is already looking forward to getting off work.

Being an anesthesiologist is a very tough job. Oftentimes, we hear clinical doctors complaining about being tired, but in fact, the anesthesiologists are the ones who die most from exhaustion.

Born to be a beast, Liu Yiyi thought to herself.

"Old Liu, you have enough papers, right? Hurry up and get promoted to professor."

"That's enough, and it's enough for scientific research." Liu Yiyi raised her head and answered proudly, "Professor Luo has prepared everything for me. The provincial natural sciences research will be available by the end of this year. The next step is to wait for the review."

The neurosurgeon was envious to the core. Although he had been promoted to associate professor, there was still the threshold to become chief physician or professor.

He also wanted to hug Luo Hao's thighs like Liu Yiyi.

Unfortunately, Luo Hao doesn't perform neurosurgery at all, so there is no chance to flatter him.

Even the neurosurgeon once thought about performing neurointerventional surgery himself, so that he could have some interactions with Luo Hao.

What if Professor Luo is merciful and has everything, just like Old Liu?

"Old Liu, you are really a fool with good fortune." The neurosurgeon sighed.

"That's right." Liu Yiyi was not angry because she was called a fool. She answered with her head held high.

Liu Yiyi knew very well that being able to sneak into Luo Hao's medical team was a real blessing, so naturally she had to act like a good kid since she had gotten such an advantage!

Otherwise, life is like walking in fine clothes at night, which is very boring.

Looking at the envious eyes of other doctors, Liu Yiyi even felt a little bit of enjoyment.

"Ready to close."

When the dura mater was closed, propofol and remifentanil were stopped and replaced with sevoflurane at 0.5 MAC.

Although Liu Yiyi was showing off, her operation was precise, like a machine.

Liu Yiyi is both an anesthesiologist and a ventilator, monitor, and micro pump, integrating man and machine.

"Lao Wang, the patient's body is a little stiff. Is he having epilepsy?" Liu Yiyi observed the change in the patient's condition.

"It's okay, turn it off." Professor Wang Di of the Department of Neurosurgery didn't care.

Liu Yiyi didn't say much and gave her symptomatic treatment by intravenous injection of 2mg midazolam and 500mg levetiracetam.

Professor Wang Diwang only sutured the dura mater. In order to relieve the pressure of cerebral edema, the skull fragment was not put back in place.

After the operation, Professor Wang breathed a sigh of relief.

The anesthetic was also stopped, but the ideal situation did not occur where the patient started to become agitated after Wang Di sewed the last stitch.

Forget agitation. The patient couldn't even breathe on his own.

The moment Liu Yiyi saw that the patient had no spontaneous breathing, white sweat broke out on her back.

"Old Liu, come down the stage and have dinner with me. Tell me what you have now. If you can help me publish an SCI article, I will pay for your dinner for the rest of the year!" Wang Di didn't realize the problem yet.

"Professor Wang, the patient is not awake." The flowery hat Liu Yiyi was wearing trembled slightly.

"What?!" Wang Di was stunned and the muscles on his face twitched.

"I'll try again." Liu Yiyi gave the patient some more medicine, waited for 10 minutes, and tried to remove the tube, but the patient still did not wake up and had no spontaneous breathing.

"Fuck!" Wang Di was stunned.

One hour after the cessation of anesthetic drugs, the patient still did not resume spontaneous breathing, had no response to oral and tracheal suction, had normal pupillary light reflex, and stared downward.

Liu Yiyi was at a loss.

"How did you anesthetize her?" Professor Wang became angry.

The person who just said he was going to eat didn't seem to be him.

Liu Yiyi glared at him and said nothing.

After a day of surgery, everyone was under a lot of pressure, but Liu Yiyi didn't argue with him.

Liu Yiyi would never do such a tasteless thing as passing the buck after something goes wrong.

"Old Liu, you are usually very capable, but why do you fail so badly when you perform with me?" Wang Di added, confirming that it was Liu Yiyi's fault.

"Professor Wang, now is not the time to pass on the blame!" Liu Yiyi was a little angry.

Wang Di endured it and began to think about the next step.

Send the patient to the CT room immediately to clarify the cause of delayed postoperative resuscitation.

CT results showed a rightward shift of the midline, diffuse loss of gray-white matter differentiation, and cerebral and cerebellar edema.

Professor Wang Di performed another craniotomy and found no clear cause of the disease.

"Old Liu, this is not our business. Look at the surgery area. I am not the one to blame."

An hour and a half later, Wang Di spoke to Liu Yiyi tiredly and anxiously.

Liu Yiyi is taking medication during the third examination.

She didn't notice anything wrong.

It’s strange, why doesn’t the patient wake up?

"What do you say we should do? What should we do?" Wang Di started to get agitated.

Liu Yiyi glared at Wang Di fiercely, picked up her phone and started to summon Luo Hao.

"Professor Luo, this side..." Liu Yiyi did not hesitate at all. She originally wanted to call Luo Hao when the patient had no spontaneous breathing after the anesthetic was withdrawn, but she still held back.

There is really nothing we can do now. Even asking the director of the anesthesiology department is of no help.

"Sister Yiyi, Luo Hao is taking a shower. Are you anxious?" Wang Jiani's voice came.

“……”Liu Yiyi sighed.

After looking at the time, Liu Yiyi felt even more guilty.

Everyone is about to go to bed, and you are calling at this time.

"Who is it?"

"Sister Yiyi."

"Hold on."

Luo Hao's voice came, a little muffled, and the faint sound of water reached Liu Yiyi's ears.

"I'm sorry, big girl."

"It's okay, it's okay. There must be something urgent on your side."

Soon, Wang Jiani handed the phone to Luo Hao.

"Sigh~~~"

"Professor Luo, what's wrong?"

"My wounds haven't healed yet, but I have to take a shower. It stinks." Luo Hao smiled brightly, "Tell me what's the matter."

Hearing Luo Hao's voice, Liu Yiyi's restless heart finally calmed down.

Luo Hao's temperament is like an invisible big hand, which soothes people's hearts and makes them feel at ease.

"Oh, is that so?" Luo Hao replied calmly after listening.

"Professor Luo, what should I do?"

"The patient was given 1000 mg of phenytoin sodium phosphate intravenously and sent back to the pediatric ICU. I'll be there right now. Don't worry, he's fine."

"it is good."

Liu Yiyi did not question Luo Hao's medical advice at all.

I called Professor Luo Haoluo only when I was extremely helpless. There is nothing to question about it.

After administering 1000 mg of phenytoin sodium, the child was sent to the pediatric ICU, with a worried look on Liu Yiyi's face.

"Old Liu, please ask your director to check the child's medication. There must be something wrong with your medication." Professor Wang said firmly, "Hurry up. I saw that the patient's parents were in a bad mood just now and they were about to lose control."

“Why must it be a problem with the medication?”

Luo Hao's voice came from behind, the voice was cold, with a hint of violence and sharpness.

Wang Di was stunned.

"Professor Wang from the Department of Neurosurgery, right? Please tell me what went wrong with Lao Liu's medication so I can learn from him." Luo Hao asked. "..." Wang Di heard a hint of anger in Luo Hao's calm words.

"Professor Luo, I don't understand, I just casually..."

"When it comes to medical matters, you can't be casual. You can't talk about it if you don't understand it. You have to be responsible." Luo Hao looked at Professor Wang Di seriously.

"..." Wang Di was stunned. He did not fight with Luo Hao.

The rumors about this person are no longer rumors, but facts.

He even dares to confront the dean, let alone himself as the professor in charge of the neurosurgery group.

Besides, Luo Hao is tall and strong, and Wang Di knows that he is protective of his child. If a dispute really breaks out at this time, Luo Hao throws the medical records in his face, and Professor Wang doesn't know what to do.

Professor Wang covered his face and walked away without any hesitation. Even if it was embarrassing, it was better than being beaten up by Luo Hao on the spot.

"Professor Luo..."

"Okay, I'll take a look. Don't worry." After Wang Di left, Luo Hao returned to normal. That warm and gentle temperament returned like magic.

After examining the child's body and the medication used during the operation, Luo Hao pulled over a chair and sat beside the child's bed.

"Professor Luo, what do you think is going on?" Liu Yiyi stood beside Luo Hao and asked softly.

"Propofol Infusion Syndrome."

"A series of symptoms caused by long-term, high-dose infusion of propofol: such as metabolic acidosis, rhabdomyolysis, hyperkalemia, renal insufficiency, hyperlipidemia, liver damage, arrhythmia, heart failure, etc."

"From a pathophysiological perspective, PRIS patients experience carbohydrate depletion and require fatty acids for cell energy, which in turn triggers the release of cortisol and adrenaline, which promote lipolysis and produce ketone bodies for the tricarboxylic acid cycle."

Luo Hao began to talk about propofol infusion syndrome in an orderly manner, as if he was giving a lecture to his students.

Liu Yiyi knew about this complication, but it rarely occurs, and most importantly, there are no definite indications for propofol syndrome.

Just as Luo Hao said, many times anesthesiologists will mistakenly think it is a drug allergy, shock, MODS, etc.

If not identified and diagnosed in time, it can easily cause irreversible damage to organ and tissue function.

"I won't tell you any more. Go home and read a book." Luo Hao leaned back in his chair. "I'll watch over him tonight. You can go back. Come early tomorrow morning. The patient will most likely be able to have the tube removed. Have a good sleep tonight. Everything will be fine when you wake up."

After a good sleep, everything is fine...

Liu Yiyi was a little confused and her nose felt a little sore.

If someone else said this, Liu Yiyi would think it was perfunctory and comforting; but since these words came from Professor Luo, Liu Yiyi was sure that everything was fine.

"Professor Luo, are you angry? I saw you wanted to slap Professor Wang when you were talking to him." Liu Yiyi asked.

"Of course I'm angry. I heard the patient's family members say at the door that the anesthesiologist used the wrong medicine, and the patient couldn't wake up. The patient's family members know shit about anesthesia. It must be that bastard Wang Di who told the patient's family members to shirk responsibility."

"!!!"

"It's okay. Leave it to me." Luo Hao raised his head slightly and looked at Liu Yiyi. "Go back and have a good rest."

"Okay." Liu Yiyi saw Luo Hao taking out his cell phone and preparing to make a call. She knew that he was going to report to the Medical Department, so she informed Feng Zixuan first to prevent the situation from getting out of control when the patient's family complained.

"Old Liu."

"Eh."

"Don't quarrel with Professor Wang. I'm here for you." Luo Hao warned gently.

"Okay." Liu Yiyi felt confused and guilty.

She knew very well that this was Professor Luo's diagnosis - propofol infusion syndrome.

Although it was not my intention as an anesthesiologist to do this and it is a normal complication, it is ultimately a problem of medication.

Professor Wang Di was trying to shift the blame by accident and turned out to be right.

Otherwise, Professor Luo would have lost his temper on the spot.

As for how the attack would happen, what to do, and what the consequences would be, Liu Yiyi didn't know, but she had confidence in Luo Hao.

Confidence comes from daily observation.

My confidence comes from my understanding of Professor Luo.

The confidence comes from the fact that this guy, who is unyielding to both heaven and earth, always adds the word "monster" when talking about Luo Hao.

Chen Yong was not there either, so Liu Yiyi went out alone to eat some hand-rolled noodles.

The stew smelled delicious, but Liu Yiyi felt like something was blocking her throat, and she had to exert force to swallow each bite.

It was so frustrating. Liu Yiyi felt helpless.

Professor Wang might be trying to pass on the blame, or he might be jealous of me, but in any case, he put the blame on himself as soon as the accident happened.

Damn, what a stupid teammate!

Liu Yiyi cursed viciously in her heart.

When this is over, I will...

Thinking of this, Liu Yiyi was stunned. What should she do? Or what can Professor Luo do?
Catch that bastard Wang Di and beat him up?
Not really, and this is suspected of provoking disturbances, which is a standard case of provoking disturbances, and it is inevitable that you will be imprisoned for 7-14 days.

Liu Yiyi felt a little aggrieved, but she remained strong when facing Wang Di and the patients.

But now she is alone, and that bastard Chen Yong is not around, so Liu Yiyi feels even more aggrieved.

I took a big mouthful of noodles, and sadness welled up in my heart, and a tear rolled down my cheeks.

"Huh? Are you crying? Didn't Luo Hao go there? What are you worried about?" Chen Yong took off his mask with a playful smile and sat opposite Liu Yiyi.

"Aren't you in Funiushan?"

"I heard that you had some problems, so I came back. What could be bigger than a girlfriend?"

After hearing this, Liu Yiyi always felt that Chen Yong was driving.

"Didn't Luo Hao go? Why are you crying?" Chen Yong asked.

"I didn't cry!" Liu Yiyi denied without hesitation.

"Harm." Chen Yong raised his hands and pressed them on both sides of Liu Yiyi's temples, and his index finger brushed across her eyes.

"The eyelashes are so long, so pretty."

"pei!"

"I'm praising you." Chen Yong moved his hand away, and a flower appeared between Chen Yong's fingers.

"This is for you. You look as beautiful as a flower today."

Liu Yiyi had her mouth full of hand-rolled noodles and was looking at the flowers in Chen Yong's hand in surprise with her cheeks puffed out.

"The flowers in the hairpin stand gracefully in the world, and the flowers bloom beautifully in the autumn."

Chen Yong spoke softly as he pinned the wild flowers in Liu Yiyi's temples.

"Look, it's much more comfortable to look at it this way. Beautiful flowers go with beautiful women, and words like "a jade hairpin gently divides the osmanthus smoke" pale in comparison to my old Liu's peerless beauty."

Chen Yong's little chatterbox provided a lot of emotional value, and Liu Yiyi was quickly coaxed into submission.

"Where did the flowers come from?"

"I picked it up in the mountains. If you want to learn magic, I'll teach you sometime." Seeing that Liu Yiyi was fine, Chen Yong raised his hand and rubbed her cheek with a smile, "Which bastard bullied my Liu? Tell me, and I'll ask Luo Hao to beat him up."

"Can you be of some use?"

Liu Yiyi spat.

"Who would want to do it themselves when they can just lock the door and let the dogs go? Don't you think so?" Chen Yong didn't care at all and laughed. "Forget it, no matter who it is, as long as Luo Hao shows up, he's dead."

"How can you be so sure?"

"This time Luo Hao came back in a bad mood. His eyes were like a hammer, and everyone he saw was a nail. He wanted to hit them a few times." Chen Yong explained, "When I met a poor guy, how could I not hit him a few times?"

"Trust me, go home and have a good sleep, and tomorrow I'll take you to see how Luo Hao beats people up."

"How to hammer?" Liu Yiyi was curious.

"How would I know? But don't think that Luo Hao is a good person just because he is conservative. That bastard has never been associated with the word good. Last time, at the Donglian Mine, the director who offended him is still working in the border area."

"!!!"

"It's so miserable. I wanted to come back several times, but I heard that President Qiubo of Donglian Mine had always refused. I guess I'll be nailed to the countryside forever." Chen Yong shrugged. "Another one was sent to Cuba to open up wasteland, and I don't know whether the other one is alive or dead."

“……”Liu Yiyi was speechless.

"Did he scold you?"

"No, he was just trying to pass the buck, saying it was an issue with the anesthetic." The moment Liu Yiyi felt aggrieved, Chen Yong placed her warm hand on her cheek.

Liu Yiyi tilted her head and pressed down Chen Yong's hand.

“I also talked to the patient’s family.”

"Oh, that's troublesome." Chen Yong knew Luo Hao. He said troublesome, but his face was full of smiles. "Don't worry, since you are so picky, Luo Hao will definitely do it tomorrow. It may not be tomorrow, until the patient is discharged from the hospital, but don't worry."

"Why did Professor Luo do this?"

"Protect your son! You are the anesthesiologist in the medical team. If something goes wrong, you should find the team leader. If you can't even solve this trivial matter, Luo Hao should just go fishing with Boss Chai every day."

……

……

Luo Hao sat at the head of the child's bed, staring at the values ​​on the monitor and ventilator, and executed one examination and medical order after another.

The pediatric ICU's resident manager is no idiot. How could she talk back to Luo Hao over such a small matter?

Someone was sitting by the bed to take care of the sick child, so she was free and happy. She even ordered a glass of Mixue Bingcheng lemonade for Luo Hao.

Luo Hao has a high luck value, he has been observing.

The child's condition was also very stable. He did not show symptoms such as bradycardia, arrhythmia, lactic acidosis, rhabdomyolysis, liver and kidney dysfunction, etc. The only obvious symptom was extensive cerebral edema.

In the end, Luo Hao considered that this case might be related to an overdose of propofol.

The essence of propofol infusion syndrome is that propofol causes cellular energy metabolism disorders and insufficient ATP production, presenting different symptoms in different patients or different conditions.

In patients with neurological diseases with prominent brain symptoms, propofol infusion syndrome should be considered, propofol should be discontinued as soon as possible, and carbohydrate nutrients should be supplemented.

After symptomatic treatment, the child had spontaneous breathing at three in the morning and was taken off the ventilator at eight in the morning.

The next day, the child was able to get out of bed and was transferred out of the pediatric ICU and returned to the general ward of neurosurgery.

three days later.

Wang Di was happy when he went to work early in the morning.

It's the weekend today, let's go fishing tomorrow!

But when he walked into the ward, he clearly felt that the atmosphere was wrong.

Glancing into the doctor's office from the corner of his eye, Wang Di was shocked to see... Luo Hao sitting by the window, chatting and laughing with Feng Zixuan.

Luo Hao was followed by a mechanical dog with green eyes, staring at him.

Gan!
(End of this chapter)