White armor

Chapter 34 Chen Yong, would you like to try using magic?
The pediatric emergency room was chaotic and noisy.

"That's how pediatrics is." Deputy Director Liu looked ugly when he heard the crying and yelling coming from the pediatric emergency room, but he didn't want to adjust or watch the fun, so he pulled Luo Hao and left quickly.

"It's great that the pediatric department of the first hospital can provide emergency care." Luo Hao sighed, "Our mine manager's pediatric department can hardly continue to operate, and my uncle is worried to death because of this."

"Oh? How many pediatricians do you have there?"

"Including the director, there are five and a half."

"Why is there still half of it?"

"There was a doctor who had his eardrum perforated by a patient's family some time ago. Director Lin said that she was not very emotionally stable and might leave her job at any time, but she is still on the job. So, it only counts half."

"..."

"If she resigns, our pediatric emergency department will have to close, and the outpatient clinic will probably only be open on a one-, three-, five-day basis."

Liu Haisen shook his head and cursed in a low voice, "They say if you don't do it, there are people who are willing to do it. Go ahead, do whatever you want."

Complaining can't solve the problem, so Liu Haisen asked, "Ronald, is your uncle under a lot of pressure?"

"Big." Luo Hao said, "Because of the female doctor who was beaten, my uncle and the vice president in charge of women and children almost got into a fight."

"???"

"!!!"

Liu Haisen first had a question mark on his face, and then an exclamation mark on his face.

All the emotions are written on his face, unabashedly.

He knew Lin Yuming's character very well. For official reasons, Boss Lin actually wanted to fight with his immediate boss.

If Luo Hao hadn't said it, Liu Haisen would not have believed it.

But then I thought about it, this is indeed Boss Lin's style, protecting the calf!
"Why are you so angry?" Liu Haisen asked.

"After the female doctor was beaten, the deputy director in charge said that she stayed in the hospital during off-duty hours, so the hospital was not responsible. They did not provide the most basic compensation, and the doctor was required to apologize to the family of the patient who beat her."

I am!

Liu Haisen was stunned by this explanation. Is this something a human being can say?
No wonder Mr. Lin lost his temper, and he didn't know what it would be like if the enamel jar he never left his hand hit the vice dean on the head.

With that said, several people walked into the emergency building.

Liu Haisen led the way and went straight to the emergency department of medicine and surgery.

"Doctor, look at me quickly. I have a terrible stomachache."

A patient squatted by the wall, leaning against the wall, his face a little pale.

At first glance, Luo Hao felt that the patient should have a disease such as acute cholecystitis.

The emergency doctor hurried past him without even looking at him.

I didn’t expect that the emergency department in my first year of medical school would be so busy.

"Uncle Wei didn't let you choose the emergency department, right?" Liu Haisen joked.

"Emergency care, pediatrics, and radiology are the restricted areas marked out for me by my uncle. He said that if I choose any of these majors, he will break my legs. If I don't change, he will break my legs with steel plates and then break the steel plates. "

"Tsk, tsk, this is your nephew, otherwise he would have tricked you into going to the emergency department by offering to treat illnesses and save lives."

After getting closer, Luo Hao smelled the smell of blood coming from the emergency room.

Emergency services started early in the morning, and several large tertiary hospitals in the provincial capital were indeed very busy.

The patient with suspected cholecystitis couldn't bear the pain, but when he saw the blood rushing in the emergency room, he was frightened and turned pale again, and his stomach pain seemed to be relieved.

"I was on duty there when I was a young doctor."

Liu Haisen said, pointing to the emergency B-ultrasound room.

"How many can you make in one night?" Luo Hao asked.

"More than 100, up to [-] made in one day." Liu Haisen couldn't help but sigh with emotion when he thought of the prosperous years back then.

Fortunately, I got through it.

Just as he was talking, the emergency doctor rushed out of the emergency room pushing a flat cart, making a smooth and beautiful drift, and rushed straight to the elevator without slowing down at all.

"It's probably an emergency operation," Liu Haisen said. "Looking at the skill, I wouldn't be able to practice it without pushing a flat car to transport patients for ten years."

Luo Hao stared at the patients going away and the emergency doctor pushing the cart all the way.

"Are your hands itchy?" Liu Haisen asked, "If you want to practice surgery, you'd better come to me. Look at the number of patients! Although the mine manager also has a lot of patients, there is absolutely no way he can compare with the Medical University."

"The number of patients is one thing, but you don't have any advanced technology. If you work for a few more years, you will probably be useless."

Luo Hao glanced at the system space, where there were countless general teachers waiting for him. The number of patients was a joke to Luo Hao.

But Luo Hao didn't refute Liu Haisen, he just smiled.

Looking around at the patients waiting for treatment, it makes people feel jealous.

Suddenly there was a crisp "ding dong" sound in Luo Hao's ear.

[Emergency mission: Serious illness hidden in the crowd.

Mission content: Find and truly diagnose a serious emergency patient hidden in the crowd. The patient's life is in danger, so please hurry up.

Task time: 6 hours.

Mission reward: 10000 experience points, wishful thinking turned into stone (small) × 1. 】

Luo Hao only glanced at the mission and became nervous.

As for the new mission rewards, Luo Hao seemed not to have seen them.

In an instant, Luo Hao's temperament changed.The change was so obvious that Liu Haisen noticed something was wrong.

Liu Haisen thought that Luo Hao had empathized with him and put himself in the emergency doctor's perspective, so he patted him on the shoulder.

"Relax, this is not your mine manager, you are just here to take a look. If you are interested, you can apply for further training and come to work with me for a while. Let me tell you, young man..."

While Liu Haisen was still chattering, Luo Hao's eyes had already glanced around the emergency waiting hall.

What disappointed Luo Hao was that he didn't see any sick or dying patients.

I'm not a doctor here, so I can't see patients. Where can I find patients who are dying?
At least judging from the physical signs, no one is in critical condition.

Luo Hao was a little sad, but suddenly he remembered something.

"Chen Yong, did you learn the magic of finding patients at Hogwarts?"

"???" Liu Haisen was stunned for a moment.

This was the first time he heard such words in the hospital.

What the hell is Hogwarts!

"It's not Hogwarts, it's Exeter." Chen Yong retorted weakly.

Not only Luo Hao, but now everyone who knows that he graduated from the Master of Magic in the UK subconsciously thinks that he graduated from Hogwarts.

"It's the same. I feel that a patient is very serious and needs emergency rescue. I feel very strongly. But I can't find where the patient is. Please help me." Luo Hao looked at Chen Yong with bright eyes.

Does this work too? !

Liu Haisen seemed to have found the reason why Luo Hao didn't stay at Xiehe. How could he rely on feeling?
I also feel that a patient is seriously ill and needs emergency treatment. Isn't this a joke?

Is this a joke?Could it be some kind of secret message between the two young people?Liu Haisen immediately became suspicious of himself.

But the next second, he froze.

"Try it." Chen Yong had no choice but to take out the necklace he was wearing around his neck.

The necklace was inlaid with a crystal. Chen Yong put the crystal in his hand, and his mask trembled slightly, as if he was chanting a spell.

Liu Haisen, who had extensive clinical experience, was dumbfounded. Seeing that the eccentric Chen Yong, who had always been wearing a mask, was actually chanting the spell as described in the novel, he pulled Luo Hao and took a step back.

"Ronald, Hogwarts is the magic school in the novel, how can you take it seriously? This is a hospital, and science is taught... although the end of science is metaphysics." Liu Haisen scolded.

"Mr. Liu, Dr. Chen went to England to study for a master's degree in occultism after graduation. He is a licensed mage." Luo Hao explained.

"What?"

Seeing that Chen Yong was still "singing", Luo Hao gave Liu Haisen a brief introduction to the master's degree in magic and mysticism from the University of Exeter in the UK.

In fact, Luo Hao didn't believe it either, but the system issued a task, and Luo Hao didn't doubt that the system would play a trick.

Since he couldn't find a life-threatening patient, it seemed okay to let Chen Yong try.

It won't make things worse.

Liu Haisen felt extremely helpless after hearing Luo Hao's words.

What kind of university in the UK is Hogwarts?

If someone had said before today that a magician from Hogwarts came to the hospital to look for patients, and did so in front of him, Liu Haisen would have given him a slap in the face.

"Ronald, you are going too far."

"Luo Hao, it seems to be in this direction." Chen Yong frowned and pointed to Luo Hao.

There was only the man who had just held his stomach and asked the emergency doctor to treat him first.

It seems that Chen Yong, the magician himself, doesn’t believe it.

"I study magic and mysticism, and divination is another course, an elective course." Chen Yong explained nonchalantly.

Luo Hao sighed.

The tasks given by the system are too nonsensical. There are so many patients in the emergency department of the First Hospital of Medical University. It is simply a dream to find out the endangered ones by just "looking" at them.

Could it be the one who was just pushed away?
Luo Hao had an idea in his mind.

"Yuck~"

The man who had just called the emergency doctor squatted in the corner, skillfully took out a plastic bag, held it and started vomiting.

In the direction Chen Yong pointed, the man was so eye-catching.

In addition, the man was extremely skilled in catching vomit in a plastic bag. Although Luo Hao did not think that this man was a patient designated by the system, he instinctively stepped forward to give the man some help.

Walking up to the man, Luo Hao tried to keep the smile on his face gentler and reached out to help him hold the plastic bag.

Liu Haisen frowned.

This patient seemed fine at first glance.

Doctors who have been working in emergency departments all year round know that patients who scream aggressively are actually in mild condition.Those emergency patients with indifferent expressions and sitting in a daze need more attention.

The patient in front of me had abdominal pain and vomiting, typical gastrointestinal symptoms.But the clear words of the gods have nothing to do with the fact that their lives are in danger.

Luo Hao is obviously inexperienced, and he and Dr. Chen, who is wearing a mask, are so playful that they even talk about magic.

Some were not too serious. Liu Haisen shook his head. Maybe this was the generation gap.

The man vomited violently, but not much. He wiped the tears from the corners of his eyes and said hoarsely, "Thank you."

"You're welcome, why are you feeling uncomfortable?" Luo Hao asked.

"The emergency department is so busy. If I don't get sick, I will be late for class." The man was a little anxious and answered the question incorrectly.

"Class? You're a teacher." "I'm a college student, a sophomore!" the man replied, and his tone increased when he mentioned that he was a sophomore.

Judging from his appearance, he must have been used to people overestimating his age, and he had a stomachache, so he didn't bother to explain anything.

Sophomore year? !
Eighteen, 19 years old.

No matter how you look at it, it doesn't look like it. You must be too anxious.

At such a young age and able to communicate smoothly, he must not be the dying patient mentioned in the system.

But Luo Hao couldn't find out who the real patient was in a short period of time, so he chatted with the man, "Do you have a stomachache? What did the doctor say?"

“Every time I come here, I’m told it’s enteritis, and it’s not good to take medicine. Recently, I’ve had diarrhea and vomiting, and it’s getting worse.”

The man's voice was very weak, but he still talked about his illness to Luo Hao, an unrelated person.

"I didn't expect the emergency department to be so busy. Look at the patient just now gushing blood. Who would have the nerve to step in and see a doctor?"

The man said, sighing deeply.

"If you didn't come to the hospital, you wouldn't know there are so many people sick."

With nothing to do, Luo Hao observed the patients around him, including the new arrivals, and asked the man about his medical history.

It turned out that he was sent to the hospital for infusion a week ago because he went drinking with his buddies who slept with him until he became fragmented.

The man vomited multiple times that day. After applying a gastrointestinal cocktail therapy containing viscous lidocaine, dimethicone aluminum hydroxide and magnesium hydroxide, his symptoms improved significantly and he was diagnosed with gastritis. He was discharged after being prescribed a proton pump inhibitor.

It's just that I vomited badly after drinking too much, and there are complications such as reflux esophagitis, which is definitely not serious.

But a week passed, and instead of relieving the vomiting, it became more severe.

As Luo Hao asked, his eyes suddenly caught a glimpse of the auxiliary diagnosis AI starting to prompt the next step - suggesting that relevant examinations should be completed.

Improve relevant inspections...

This is the most perfunctory sentence when writing medical records, and it is correct nonsense.

I didn't expect that a guy with thick eyebrows and big eyes like the system would always talk nonsense.

But the next second, Luo Hao saw that there were several examination contents that had nothing to do with reflux esophagitis and acute and chronic alcoholism in the comprehensive examination contents.

Among them, the echocardiography is so dazzling, showing the "unprofessionalism" of the system.

The man's medical history was very simple. He had a series of complications caused by heavy drinking. Although he still had nausea and vomiting after a week, that didn't mean much.

A gastroscopy was extremely frustrating, and the system actually asked for a cardiac color Doppler ultrasound.

Nonsense.

Luo Hao immediately thought that if it was nonsense, then would the system tasks also be nonsense?
"Wait a moment." Luo Hao felt that the system was boring and reassured the man, "The emergency doctor will be back soon... No, you should be suffering from internal medicine. Why are you waiting for the surgeon?"

"I committed a crime today. The number of emergency room calls was outrageous, and the number of internists was all gone." The man said helplessly.

Before he finished speaking, the expression on the man's face was strange and wonderful.

He reluctantly stood up with his legs crossed, his facial muscles twisted, "I...I..."

As he spoke, he walked straight to the bathroom.

Seeing that the man was walking with sloppy steps and staggering, Chen Yong volunteered to help the man go to the bathroom.

"Ronald Luo, you are too enthusiastic." Liu Haisen pointedly made a mockery of Luo Hao.

Luo Hao touched his head and smiled bitterly.

The unreliable system gave me an unreliable task, and I didn't want to do it.

"Teacher Liu, please show me the B-ultrasound room later. Your equipment should be better than ours."

"I dare not say that." Liu Haisen smiled, "20 to 30 years ago, there were two hospitals with the best equipment in the province."

He paused and gave up.

"To the east is your mine director, and to the west is the oil director, which is affiliated with the oil field company. One of the parent companies sells coal, and the other sells oil. That's really rich.

The equipment of your two hospitals must be high-end. According to the old doctor, your patients brought the films to the provincial capital for treatment and did not need to undergo examinations, which was not the case in other places. "

"Now, the first-year medical school has more machines, but the quality is no better than your mine. You see, your DSA machine has been available for a long time. If I remember correctly, it should be the third one in the province."

The two chatted, waiting for Chen Yong to come out, and then continued to visit the First Hospital of the Medical University.

Liu Haisen was full of confidence in Luo Hao coming here to study.

With Luo Hao working under him, his workload can be reduced by an order of magnitude.Although this young man is sometimes unreliable, such as now, he is still quite capable most of the time.

Liu Haisen gave Luo Hao a positive evaluation of his "young mentality".

"Luo Hao!"

Chen Yong's shout came from the bathroom.

Uh……

In an instant, the enhanced mental power subconsciously told Luo Hao that something had happened.

Luo Hao trotted to the bathroom.

Chen Yong supported the man, and Luo Hao came in and asked, "What's wrong?"

"Blood in the stool."

"!!!"

Luo Hao took a closer look and saw that there was diarrheal excrement in the urinal, and the excrement was mixed with dark red color.

Gan!
Luo Hao realized that there might be something to Chen Yong's "occult" power.

There's something really wrong with the sophomore who seemed fine but was just drunk a week ago.

"What's going on?" Liu Haisen arrived late.

"Teacher Liu, the patient has blood in his stool, please check for an echocardiogram." Luo Hao said decisively.

"..."

Liu Haisen was helpless.

This little guy Luo Hao has always been reliable, but is there any relationship between blood in the stool and ultrasound? !

He must have never received an emergency patient, so he was suddenly confused when he saw blood.

No way, Boss Lin said that Luo Hao's surgery was quite good.

Can a surgeon be frightened by more than ten milliliters of blood coming out of a patient's stool?

Liu Haisen was still thinking that Luo Hao and Chen Yong had helped the patient out of the bathroom.

"Don't rush! I'll collect the specimen later." Luo Haolin said to other people in the bathroom when he went out.

Liu Haisen didn't have time to think too much and followed Luo Hao into the emergency room.

The emergency department nurse knew Liu Haisen and heard that the patient had blood in his stool, so he immediately put the patient on the emergency bed and installed an ECG monitor.

The blood pressure is stable, the heart rate is pretty good, and the patient has no major problems.

"Teacher Liu, is there a bedside ultrasound scanner?" Seeing that the patient's vital signs were stable, Luo Hao felt relieved and approached Liu Haisen and asked in a low voice.

"Ronaldo, why do you insist on giving the patient an echocardiogram?" Liu Haisen didn't understand. "Let me ask you, how should blood in the stool be diagnosed and then treated?"

Luo Hao had no choice but to take a deep look at the auxiliary diagnosis AI prompt to complete the relevant examination. It specifically indicated that an ultrasound should be done. After confirming that it was correct, he strengthened his confidence.

But confidence is confidence, but Luo Hao didn't know how to explain it to Liu Haisen.

why?
Luo Hao didn't know why.

"Teacher Liu, it's too late to explain." Luo Hao could only "perform" a determined and urgent tone and expression that suggested that Liu Haisen's patient would die suddenly if he did not undergo an echocardiogram in the next second.

Liu Haisen was startled.

Luo Hao's tone and expression are very common in clinical practice. Experienced doctors will have similar behaviors when facing emergency rescue patients.

He nodded subconsciously, "If you can be at the bedside, I'll make a call."

Liu Haisen immediately notified the doctor on duty in the department to bring over the machine.

But after hanging up the phone, Liu Haisen was speechless.

What's wrong with you?How could you believe Luo Hao's nonsensical request!
Liu Haisen felt that he had been teased by Luo Hao. Maybe Luo Hao did not mean it, but Liu Haisen was still very unhappy.

He returned to Luo Hao and reprimanded in a low voice, "Xiao Luo, your request is a bit too much. An ultrasound echocardiogram costs a few hundred yuan, can you do it casually? You are so sloppy, if someone knows and hangs it on the Internet, you can I want to be known as a black-hearted doctor."

"..." Luo Hao pursed his lips and remained silent.

Liu Haisen seemed to have seen himself when he was young.

"Ronaldo, why on earth are you doing an echocardiogram on the patient?"

Luo Hao looked at the electrocardiogram monitor.

Just now, the nurse first installed the blood pressure cuff, and then installed the blood oxygen saturation clamp. While Liu Haisen was on the phone, he attached the electrode membrane. The patient's electrocardiogram was now displayed on the screen.

Visible to the naked eye, the patient's electrocardiogram is disordered.

Liu Haisen couldn't understand it, but it didn't affect his understanding that there was something wrong with the patient's ECG.

All previous doubts were instantly wiped out.

"This……"

"Sinus tachycardia accompanied by alternans, consider pericardial effusion." Luo Hao replied.

"!!!"

Liu Haisen was awe-inspiring.

Although he couldn't figure out why a young man who had been suffering from alcoholism a week earlier would develop pericardial effusion a week later, it didn't matter.

"Wait a minute, I'll go get the specimen." After Luo Hao finished speaking, he turned to leave.

"You look at the patient while I go." Chen Yong volunteered and went to the nurse to ask for PVC gloves and a specimen box.

Chen Yong did the dirty work, but Luo Hao didn't rush to do it.Soon the bedside ultrasound machine arrived, and Liu Haisen did the ultrasound directly on the patient without changing his clothes.

As soon as the probe was attached, a more serious image than expected was displayed on the screen.

Imaging confirmed the presence of a large effusion and evidence of right heart failure, supporting the diagnosis of cardiac tamponade.

!!!

Liu Haisen was not surprised, but calmly described the image objectively, and the B-ultrasound doctor quickly recorded it.

This scene dumbfounded the emergency surgeon who had just returned. He remembered the patient who complained that he had a stomachache.

There was nothing wrong, so why did he end up sending himself to the inpatient department with a trauma? !

Abdominal pain, vomiting, diarrhea and even blood in the stool are not serious problems. At least there is enough time for diagnosis and treatment.

But pericardial tamponade is not enough, it can be fatal!

"Send to the Department of Circulation Medicine and prepare for pericardiocentesis." Liu Haisen wiped the probe clean, hung it on the machine, then grabbed a bunch of tissues and threw them on the patient, then turned and left.

(End of this chapter)