White armor

Chapter 323: Close the door and release the dogs! (Silver Alliance 37 Unrivaled in the World plus 4)

Wang Di was stunned.

Especially the mechanical dog next to Luo Hao, with green eyes, as if it just had a light on, but it seemed to have consciousness, staring at him viciously, and could pounce on him and bite him at any time.

Wang Di felt cold all over and his muscles stiffened.

He took half a step forward, and a rustling electrical sound was heard. The mechanical dog seemed to twist its neck and stared at him.

"Director Feng, good morning." Wang Di was not stupid. He knew that Luo Hao's appearance in the neurosurgery department was most likely related to the day he passed the buck.

But the thing is, there is a problem with the anesthesiology department. Can you blame yourself?

Wang Di felt aggrieved, but dared not say a word.

"Oh? Professor Wang is here." Feng Zixuan smiled, "Go change your clothes. This year the Medical Department is reviewing medical records as usual. There's nothing else to do."

Oh shit!

Everyday? No one would believe it!

Wang Di cursed in his heart.

He even brought a dog, and he still has the nerve to talk about daily life!
But Wang Di didn't dare say it out loud, and he didn't even dare to change his expression in the slightest.

Arriving at the duty room, Wang Di changed his clothes nervously.

"What is Luo Hao doing here?"

"I don't know. Did any of us offend him? He even asked the medical department to come along, saying it was a routine review of the medical records. But when has Director Feng ever come here in person before?"

"It must be wrong. I'm here to find fault. Do you have a medical record?"

There was an atmosphere of anxiety in the duty room.

The Medical Director Feng Zixuan arrived in person, who wouldn’t be nervous?

Director Dong? He hasn't come to work yet. If he comes, he will probably chat and laugh with Feng Zixuan, and scold anyone who has a problem with their medical records.

Wang Di was the most afraid because he saw Luo Hao and knew that this wave was aimed at him.

However, because there was a problem, Wang Di has been very careful these days. He has been urging junior doctors to complete the medical records as soon as possible, which they had never written before.

He had heard that the elderly people who were close to Luo Hao were very protective of their children. He and Liu Yiyi had "a little bit" of conflict, so he was very careful about Luo Hao's protectiveness.

What is meant to come will come, it always will.

Professor Wang did not complain with others, but quietly changed his clothes, blended in with the crowd, tried his best to hide his figure and make himself a little transparent.

He was determined not to show up so as not to give Luo Hao a chance to find fault with him.

Professor Wang Di was even certain that as long as he said a word, Luo Hao would find his medical records and start finding fault with him.

Oh shit!

Isn’t it just that Liu Yiyi used the wrong medicine? Is that a big deal?

The patient was fine now, but Luo Hao actually came to the door.

No trouble!

Wang Di cursed in his heart.

But he just cursed in his heart, not daring to show any emotion on his face, and lowered his head, almost inserting it into his crotch.

Don’t see me, don’t see me, don’t see me, don’t see me, Professor Wang even started chanting in his heart.

“If we talk about surgeons being in better shape, the ones who are starting to get involved in interventional surgery are in better shape.”

Everyone came to the office. Wang Di was standing in the corner when he suddenly heard Professor Luo Haoluo talking and laughing.

what does this mean?
"Xiao Luo, don't joke around." Director Dong smiled awkwardly, "Wearing a lead suit to perform surgery is exhausting."

"Recently I've been watching Mr. Ou's live broadcast on the Skybridge in Shanghai. He broadcasts live until 1 a.m. on weekends, and at 7 a.m. he has to take the high-speed rail to go to nearby cities and counties to fly knives."

"Live broadcast? Surgery? Allow me?"

"The live singing on the bridge is so awful." Luo Hao laughed, "But Mr. Ou used to be a surgeon, and now he is a big shot. He took some X-rays and suddenly he got better. He is not tired at all from all this."

"..."

"..."

Young people really talk nonsense, everyone in the neurosurgery department thought to themselves.

But only Wang Di felt a chill in his heart and almost cried. Was Luo Hao threatening him and wanted to transfer him to the neurointervention group?

Neurosurgery also has interventional surgeries. Middle cerebral artery aneurysm, which used to be one of the watersheds, is now treated with interventional surgery, with coils inserted for embolism.

However, not many people are willing to undergo interventional surgery. After all, it requires threading and wearing a lead vest... As Director Dong said, a few operations can make a person exhausted.

Luo Hao not only wanted to check the medical records, he also forced himself to undergo an interventional surgery. Wang Di grinned and almost raised his hand to slap himself.

I know that Liu Yiyi is Luo Hao's person, why should I mess with her!
You’re such a bad mouth!

"Teacher Ou is full of energy and very impressive." Luo Hao raised his hand and touched the robot dog beside him, smiling, "The audience was 2000, which is more than the average small internet celebrity. I guess Teacher Ou has a dream of becoming a wandering singer, and live broadcasting has made it come true."

"Ha~" Director Dong glanced at the mechanical dog beside Luo Hao and his eyelids twitched.

He felt that the thing might pounce on him and bite him at any time.

Is Luo Hao going to close the door and let the dogs go, and wipe out the entire neurosurgery department?

How could a normal hospital be turned into something from a science fiction movie?

"It's almost time. Today is not the surgery day for your ward, so hurry up." Feng Zixuan said, "Don't delay Director Dong's ward rounds."

"Okay." Luo Hao smiled and picked up a copy of the printed medical record that was placed on the back of the robot dog in front of him.

"Professor Wang's medical records are well written." Luo Hao flipped through a few pages and said lightly.

really!

Wang Di's hair stood up all over his body. Luo Hao didn't even bother to act, he just took out his own medical records.

He felt a cold flash, and the fifty-meter-long sword had been pulled out by Luo Hao, with the tip of the sword pointing at his nose.

Luo Hao asked himself silently: Are you convinced?
"I accept!" Professor Wang answered subconsciously.

"Ah?" Luo Hao was startled and glanced at Wang Di. "What did Professor Wang say?"

“……”Wang Di was speechless.

How could my mind be so confused that I could blurt out whatever I was thinking.

Luo Hao stood up, and Wang Di became even more flustered.

He seemed to see Zhuzi running towards him with his teeth bared.

Bamboo has been very popular recently, even Wang Di has bought bamboo peripherals.

Especially the photo of the bamboo spear picking up the golden eagle, which he also kept.

Luo Hao could subdue a fierce guy like Zhuzi, so he was nothing. Wang Di had a clear understanding of himself.

I accept it. Isn’t it enough that I accept it?

Don't come over here!
Don't come over here!!

Wang Di's pupils shrank and he looked at Luo Hao nervously.

Luo Hao strode towards him, and the robot dog made a slight rustling sound and followed Luo Hao.

It's like the villain from a science fiction movie has been born.

"Director Feng asked me to come here, so I'm going to show off my ugliness." Luo Hao did not walk up to Wang Di, but stood in front of the blackboard in the office and glanced at the doctors around him. "I just happened to get a copy of Professor Wang's medical record, so I'll just say a few words about it."

Just a few words...

Why does this sound so familiar?

"Let's get straight to the point. For example, Professor Wang copied and pasted the medical records, saying that the patient had an appendectomy five years ago, which was not reflected in the medical history or physical examination."

"!!!"

Didn’t you say you wouldn’t mention it? Why are you still talking about it?

Wang Di had a sad face and forced a smile.

"As for the medical records..." Luo Hao shook his head.

Shashasha~
The robot dog seemed to sense Luo Hao's emotions, or perhaps Luo Hao was controlling it through some means, and it also shook its head, making a slight rustling sound.

"It is written, and it looks okay. When I was in the critical care unit at Peking Union Medical College Hospital, the surgeons rarely wrote surgical records. Even if I urged them a hundred times, they still wouldn't write. I really don't know what they were busy with." Luo Hao grumbled.

"It's pointless to dwell on punctuation, formatting, typos, and grammatical errors. This medical record happens to be about epilepsy, so let's discuss it."

"first."

"duang~"

The marker fell heavily on the blackboard, making a sound.

Wang Di felt the robot dog baring its teeth at him and pretending to pounce.

"Indications: Suitable for refractory epilepsy of unilateral mesial temporal lobe origin."

“Preoperative evaluation: Two factors should be taken into consideration when selecting SAHC. The most important factor is that the epileptogenic focus should be located in the medial temporal lobe. The second factor is to evaluate the neurological damage caused by the surgery and weigh the pros and cons.

A comprehensive evaluation should be performed before surgery, including a detailed medical history, a comprehensive neurological examination, ictal and interictal electroencephalograms, high-resolution MRI, and neuropsychological evaluation.

For patients with negative MRI, bilateral deep electrodes can be implanted before surgery to determine whether the origin is unilateral medial temporal lobe.

"Professor Wang, can you tell me about the preoperative evaluation? I don't see it in the medical record."

Luo Hao looked at Wang Di.

Wang Di shuddered, and the robot dog's green eyes looked at him like a hungry wolf.

He had regretted countless times why he had to criticize Liu Yiyi that day.

Speaking of Liu Yiyi, he brought up Luo Hao behind her. Isn't this crazy? At that time, he should have honestly talked to Liu Yiyi about how the surgery went and urged her to summon Luo Hao.

Wang Di regretted his decision so much that his intestines turned green. Next time, if there was a next time, he would definitely perform the summoning spell politely.

"Professor Wang?"

"Professor Wang?"

Luo Hao greeted him twice.

“Ahem~” Director Dong looked embarrassed. “The surgical records… ahem, the patient was a semi-emergency case, and he had a seizure before going on stage that day. Professor Wang may not have time. Wang Di, hurry up and make up for it later!”

"Hey, hey." Wang Di responded in a low voice.

Director Dong helped me solve an embarrassing problem, but what happened next?

Wang Di and the robot dog looked into each other's green eyes, and he suddenly thought of the saying "a turtle looks at a mung bean".

Luo Hao did not argue and began to write down the patient's preoperative evaluation on the blackboard.

His handwriting was small, leaving large blank spaces.

Professor Wang Di felt uncomfortable when he saw the blank space on the blackboard, as it meant that he would be tortured for a longer time.

"There are many approaches to AHC. The three most common and effective ones are the transcortical approach, the translateral fissure approach, and the subtemporal approach." Luo Hao's expression became serious. Wang Di was a little dazed. He even felt that the robot dog's "expression" had become serious.

"I have a different opinion on the choice of approach."

"Click~"

Luo Hao turned on the film viewer.

"Brush~"

Luo Hao took out the patient's MRI film.

"Stuck~"

Luo Hao inserted the film into the film viewer.

Nowadays, most hospitals use computers to read films, and Wang Di did not expect that Luo Hao had prepared the patient's imaging data early in the morning.

If you're provocative, do you need to be so clear and not hide it at all?
Wang Di was a little confused.

It's normal for him to put the blame on others. Liu Yiyi was not hurt at all, and the patient is fine.

Is it necessary to make such a big fuss?

"There are several points regarding the choice of approach."

随后，1、2、3、4、5出现在黑板上。

Luo Hao explained how to choose the surgical approach while referring to the imaging data.

This was originally the academic field of neurosurgery, and no one expected that an interventional doctor would stand in front of the film viewer and blackboard and start giving lectures to everyone.

Everyone, including Director Dong, was ready to refute.

Professor Luo Haoluo challenges his own major academically!

In an instant, even Feng Zixuan could not suppress the fighting enthusiasm of everyone present.

but!

After listening to Luo Hao's story, they all felt confused.

What Luo Hao said seemed to be right.

Although some of the arguments are a bit far-fetched, Wang Di's choice of transcortical SAHC (TC-SAHC), which is the approach that crosses the lateral structure of the temporal lobe to reach the temporal horn of the lateral ventricle, hippocampus, amygdala and parahippocampal gyrus, cannot be said to be completely wrong.

But there are clearly better surgical options.

Director Dong looked at Luo Hao in a daze.

Young, sunny and dazzling.

“The choice is personal, which I think is something that transsylvian entry patients will benefit more from.”

"But the operation has already been completed. There is no point in talking about it now. Let's continue talking about Professor Wang's operation."

Shashasha~
The robot dog bent its knees and straightened its body. Luo Hao picked up the projector it was carrying and placed it on the table.

Wang Di’s eyes almost popped out.

He always thought that the accessory was a part of the robot dog itself, but he didn't expect that Professor Luo Haoluo actually brought a projector.

Luo Hao quickly clicked play, and everyone's eyes widened after seeing the content.

Animation!

Surgery animation!!
Although it's a bit crude, how much does it cost to make such an animation? How much work does it take?

"Professor Wang, this is the surgical process I inferred based on the patient's post-operative films. If you think there is something wrong, just tell me." Luo Hao smiled.

Wang Di didn't even dare to say a word.

He really didn't expect that Luo Hao would be so petty that he would even use animation to simulate his own surgical process.

But this is not the main point. Being able to reverse the surgical process based on post-operative imaging data is itself a powerful ability.

"The patient is placed in the lateral or supine position with the shoulder on the same side of the surgical site elevated, and the head is fixed and rotated to the opposite side so that the longitudinal axis of the temporal lobe is parallel to the horizontal plane."

"Choose a pretragus straight incision or a frontotemporal arc incision to open the zygomatic bone and separate the temporalis muscle. Stereotactic navigation plays a big role in craniotomy, especially in minimally invasive craniotomy that cannot fully expose the lateral temporal lobe anatomy.

Cut the skull open and create an incision of about 2 to 3 cm parallel to the superior temporal sulcus.

"Professor Wang made a mistake in choosing the incision for this step. Here is a photo of the patient's incision. Let's compare them."

A picture appeared, which was taken by Luo Hao when the dressing was changed. Two fields on one screen, Wang Di's incision and the standard incision in the animation were compared together, and the difference was obvious at a glance.

"It was a minor problem, but not a big one. But similar minor problems piled up, which prolonged the operation time and eventually became a big problem."

Wang Di grinned and tried hard not to cry.

Luo Hao has already pointed out the problem - the operation time was prolonged, which eventually led to an overdose of milk, and finally the patient was unable to wake up.

Although he had figured it out and Luo Hao had clearly revealed his cards, Wang Di did not dare to accept the challenge.

"Next, the white matter fibers are separated in the front-to-back direction under a microscope until the temporal horn of the lateral ventricle is clearly exposed. The retractor is used to expose the surgical field, and the hippocampus, choroid plexus, choroid fissure and amygdala can be exposed on the inferior wall of the lateral ventricle."

"From the perspective of imaging, Professor Wang's microsurgery was a bit rough."

Luo Hao continued to explain.

He actually knew a lot about microsurgery in neurosurgery!
Director Dong was a little unhappy at first, and he fell silent when he saw this scene.

They brought the director of medical department to mess things up, but as far as this matter is concerned, I can fight back.

Even if the matter is brought to Dean Zhuang, even if I don't say I am right, I can still make a point.

But Luo Hao started talking about medical technology and even made a surgical animation. What else could I say?

The most important thing is that for the parts that I can understand, everything Luo Hao said is correct.

Director Dong knew clearly what was wrong with Wang Di's surgery.

Luo Hao was not cursing like a shrew, but was meticulously "discussing" the impact of Professor Wang Di's surgery on the course of the operation, which resulted in the operation taking too long and causing the patient to suffer from propofol syndrome.

All the words were in favor of Liu Yiyi. Although it was the syndrome caused by propofol that made the patient unable to wake up after the operation, the root cause was that Wang Di's operation was performed too slowly and too roughly.

Forty minutes later.

"That's about it." Luo Hao put down the marker and touched the robot dog's head. The robot dog made a rustling sound, as if responding to Luo Hao.

"The operation was performed too crudely, causing the operation that could have been completed in 1 hour and 40 minutes to be extended to nearly 9 hours. Professor Wang, am I right?"

"Hmm." Wang Di squeezed out a sound from his nose.

Indeed, if what Luo Hao said was done, the operation would go smoothly.

Is it all your own responsibility?

Wang Di was not convinced, but he didn't dare to say anything, for fear that Luo Hao would roll up his sleeves and go on stage to perform a demonstration operation on him.

It is said that Professor Xiao Luo has 7 practicing certificates, and Wang Di is not sure whether he has a practicing certificate in neurosurgery.

But after watching the surgical animation, he believed that Luo Hao must be very good at neurosurgery microsurgery.

"Okay, we've finished discussing the surgery. I hope Professor Wang won't make the same mistakes again in the future." Luo Hao looked directly at Wang Di.

Even if Director Dong wanted to say something for Wang Di and protect him, he didn't dare to speak at this time.

Is it really necessary to protect one's own child to the point of bloodshed?
Director Dong was a little confused.

"After talking about the surgery, let's go back and look at the medical records. Director Feng divided the medical records into five levels, which I think is a very good classification."

He did not forget to flatter Feng Zixuan, and Director Dong was speechless.

"First level, medical records can now be copied in full. I hope you don't make mistakes that passers-by from five to ninety years old can pick out, such as the gender of the baby, or the fact that the baby had an appendectomy but there was no incision in the right lower abdomen."

"The patient did not undergo laparoscopic surgery, but rather an open surgery in the county. I asked about this and also looked at the patient's surgical incision."

"This is a small matter, just pay attention next time, bad review."

"The second level is the litigation materials. The first page of the medical record is the most important. The chief complaint and the present medical history must indicate how the patient got the disease, what the past medical history is, and what happened from the onset of the disease to the time you saw him. It is very important, especially in surgery."

"Professor Wang didn't do a very good job on this point. Bad review."

Director Dong's face turned a little red.

"The third point mainly refers to social security and commercial insurance. To deal with social security, we should work hard to deal with the DIP/DRG rules. Here, Professor Wang did not pay attention to something."

Luo Hao immediately began to list the relevant terms of DIP/DRG.

“The payment standard for the principal diagnosis should be basically consistent with the payment standard for DIP/DRG, preferably slightly higher.”

"Here, we need to pay attention to commercial insurance. Patients with commercial insurance should pay great attention to the writing of medical history, personal history and personal information. It is really troublesome if it is written incorrectly, and they will refuse to pay the insurance money and push the responsibility to the clinician."

"Here, Professor Wang did a very bad job, the worst review among the worst."

Director Dong was dumbfounded. Most clinical doctors would study DIP/DRG, but he never expected that after Luo Hao's talk, he would have new insights.

Although Luo Hao was making excuses and finding faults in the previous matters, when it came to commercial insurance in the end, Director Dong had to take it seriously no matter what.

"About half of the recent medical disputes are caused by the inability of commercial insurance to reimburse." Feng Zixuan said in a low voice.

"What is patient commercial insurance?" asked Director Dong.

Wang Di looked embarrassed.

Director Dong was a little unhappy. He didn't even give me a chance to say something to help him. How fucking stupid.

Luo Hao smiled, "HSBC Life, I don't know how the patient's family bought insurance, but this commercial insurance sounds high-end, but the rating is CC, which is very low. They will find all kinds of reasons and excuses to refuse to pay the insurance money."

"In the end, the responsibility lies with the hospital."

"Professor Wang, you must know this." Luo Hao looked at Wang Di and asked seriously.

"..."Wang Di really wanted to raise his hand and slap his own big cunt.

I was a bitch that day.

I should have thought that Liu Yiyi would call someone and Professor Luo would come to calm the situation, so why should I be the bad guy?

But Wang Di didn't want to resist.

After resisting once, he threw the blame on Liu Yiyi, which attracted the evil star Luo Hao, who even brought a dog along.

Now, it’s an internal matter of the department.

If I really don't admit it and resist, the next step might be for me to appear at the hospital-wide doctors' meeting.

By then, not only will I have no face left, but even Director Dong will be in trouble.

"I was wrong. I took note of everything you said, Professor Luo." Wang Di took out his reading glasses and put them on, then took a pen and paper to take notes carefully.

For a moment, Wang Di saw a hint of disappointment in Professor Luo Haoluo's eyes.

He was expecting himself to resist!
He wants to make a big deal out of it!
Wang Di was in awe. If he couldn't afford to offend someone, he couldn't afford to hide. If he couldn't resist, wouldn't he enjoy himself?
It’s no wonder that what Luo Hao said was full of useful information, especially when it came to commercial insurance.

"Professor Luo, HSBC Life's rating is CC. Can you tell me about other commercial insurances? I'll pay more attention to it in the future."

Wang Di knelt down immediately.

Luo Hao felt very sorry.

(End of this chapter)