White armor

Chapter 35 If it works, it will work. If it doesn’t work, it won’t work. What the hell is it?
A preliminary diagnosis was made, and the "neglected" sophomore was indeed the critically ill patient referred to by the system.

Although the preliminary diagnosis was made, Luo Hao's mission was not completed.

The diagnosis of cardiac tamponade is only a complication caused by the primary disease and is not a definite diagnosis.

Luo Hao concentrated and looked at the patient deeply.

The diagnostic assistant AI has not yet been upgraded, and Luo Hao has begun to eagerly hope that the system can issue more tasks so that he can accumulate enough fragments to synthesize and upgrade as soon as possible.

I just hope that I won’t be like Pinduoduo and never see the end.

The medical staff in the emergency department of the First Hospital of the Medical University are of high quality, and you can tell at a glance that they have experienced many battles.

It only took less than 15 minutes to contact the Department of Circulation Medicine and transfer the patient away.

"Ronald, let's go. Yes, it's amazing that a patient like this can be diagnosed by chance." Liu Haisen admired Luo Hao unconsciously and said in a friendly manner.

In his subconscious mind, Luo Hao had been upgraded from Boss Lin's nephew to a doctor of comparable level who could discuss difficult illnesses with him.

"En." Luo Hao nodded.

When Liu Haisen and Luo Hao continued to "visit" the First Hospital of the Medical University and walked out of the emergency room building, Luo Hao suddenly stopped.

"Teacher Liu, that patient..."

"Which one? A patient with cardiac tamponade?"

"Well, I want to take a look. Is it convenient for you?"

Although Luo Hao used a question, his tone was affirmative and left no room for doubt.

Unknowingly, Luo Hao already had a little bit of Wang Guohua's domineering energy in the mining company.

Liu Haisen scratched his head.

What's good about a patient?Having been admitted to the hospital, naturally there are doctors and professors from relevant departments responsible for diagnosis and treatment.

Isn't Luo Hao a little too busy?

"Ronald, your temper was okay when you were young, but you may not be able to do it when you reach thirty. You must learn to be relaxed and moderate, and don't be too empathetic. The patient..."

"Teacher Liu, that's not what I meant."

"Oh? What do you mean?" Liu Haisen became interested.

"I'm afraid that the First Hospital of Medical University won't understand it, which will delay the patient's diagnosis and treatment."

Chen Yong almost raised his hands to cover his eyes.

The awkward feeling swept through his body like a wave, and in just a moment, Chen Yong dug out three rooms and one living room from the ground.

Luo Hao,

he,
Are you afraid of misdiagnosis by the First Hospital of Medical University?
Who does he think he is!

Liu Haisen thought he had heard wrongly, and was stunned for a full three seconds. He chewed Luo Hao's words repeatedly, and finally looked at this boy who "didn't know whether to laugh or cry."

"Ronald, you... are simply too confident." Liu Haisen did not scold Luo Hao, but gently described it as confident.

In Chen Yong's view, this is not self-confidence, but close to arrogance and rudeness.

"Teacher Liu, can you take me to have a look?" Luo Hao asked politely but firmly.

Liu Haisen hesitated slightly, but still said, "Okay, but let's make it clear first that we cannot interfere with the treatment of circulatory medicine."

"Teacher Liu, I need you to urge me on some examinations. If we can get them out as soon as possible, I feel that if the patient does not get the diagnosis as soon as possible, the situation will be very dangerous."

Liu Haisen really didn't know who gave Luo Hao such confidence.

Confidence is a good thing, but Luo Hao's self-confidence is a bit overwhelming.

In both public and private matters, Liu Haisen chose to "indulge" Luo Hao and took him and Chen Yong to the Department of Circulation Medicine.

Along the way, Chen Yong wanted to talk to Luo Hao about how embarrassing Luo Hao's words and behavior just now were, but he never found the opportunity.

When they came to the Department of Circulation Medicine, several people sat down in the doctor's office. The doctor on duty was doing pericardiocentesis and didn't have time for the time being.

Liu Haisen and Luo Hao chatted all the time, and waited for nearly half an hour for the doctor on duty to come back.

After the exchange, we learned that the patient was admitted to the hospital, and immediately entered the cardiac catheterization laboratory for pericardiocentesis, which drained approximately 1500 ml of serum fluid.

Emergency laboratory examination before pericardiocentesis found that the patient had lactic acidosis, lactic acid 8.71mmol/L, pH 7.18, anion gap 28mmol/L, acute kidney injury, blood urea nitrogen 25.1mg/dl, creatinine 1.94mg/dl, and transaminases elevated. High, indicating reduced systemic perfusion.

"What disease do you suspect the patient has?" Liu Haisen asked.

The doctor on duty in the Department of Circulation Medicine shook his head, "Director Liu, the patient still needs to complete relevant examinations. Now he has only returned a few emergency tests. We still don't know what disease caused nausea, vomiting, blood in the stool, pericardial effusion, acute... "

He rattled off a dozen diagnoses.

Liu Haisen's head was buzzing.

As soon as he heard it, he knew that the patient's condition was extremely troublesome and that it was extremely unlikely that he could give a definite diagnosis now.

There is a high probability that a hospital-wide consultation will be held on Monday, and experts from all relevant departments will be found to make further discoveries.

"Ronaldo, the patient's cardiac tamponade has been properly dealt with, don't worry. Let's go and take you to taste the delicious food in the provincial capital." Liu Haisen suggested after asking about the patient's situation.

In his opinion, there was no need to stay.

But Luo Hao remained stubbornly silent, his expression serious, and his sunny smile disappeared.

this kid.

Liu Haisen sighed inwardly.

Luo Hao is still young, just like when he was young. He believes that as long as it is a disease, it should be accurately diagnosed and treated promptly.

Little do they know that manpower is exhausted.

The medical resources in the provincial capital are relatively high-end and abundant, but Liu Haisen has seen countless patients with unclear diagnoses over the years.

The vast majority of doctors for these patients have tried their best, but they still do not have a clear, accurate, and correct diagnosis.

This is the passion of young people.

But you have to be aware of current affairs. Luo Hao just came to the provincial capital to do business and will go back soon. Liu Haisen smiled. He couldn't even get the corresponding laboratory tests in such a short time. Luo Hao thought so much.

Luo Hao doesn't have the inner drama that Liu Haisen thinks.

Because the system interface in the upper right corner of the field of view has changed.

[Severe diseases hidden in the crowd] Originally, only one patient was required to be diagnosed, and the patient was reminded that the condition was serious, so please hurry up.

But more than ten seconds ago, the system task interface suddenly flashed. Although there was no sound, the flashing red sound was loud.

In the task, a () appears after the four words "serious emergency". The () indicates that the patient has suffered from liver shock.

Liver shock just after pericardiocentesis? !
Luo Hao's eyebrows knitted together.

"Ronald Luo?" Seeing Luo Hao didn't speak, Liu Haisen patted him.

"Ah?" Luo Hao woke up.

The flashing red light of the system told Luo Hao that the matter was urgent. Luo Hao did not hesitate and said directly, "Can you lend me the white clothes? I want to see the patient."

Liu Haisen was very unhappy, "Ronald, there's no need for this. This is the First Hospital of the Medical University. Why don't you worry as much as your mine manager?"

What he said was very serious, and Luo Hao had already exhausted Liu Haisen's patience.

"Teacher Liu, this senior brother, I suspect that the patient's condition has deteriorated further."

The doctor on duty was surprised that Luo Hao called him senior. Only a doctor with a master's training would call him that.

Although he did not look down upon Luo Hao, he was still dissatisfied with Luo Hao's expression.

Luo Hao is questioning his handling!

According to the doctor on duty, Luo Hao suspected that he had damaged the patient's myocardium.

"The pericardiocentesis was done under B-ultrasound. Don't you think I penetrated the myocardium?" the doctor on duty asked directly.

"I want to take a look." Luo Hao said, clasping his hands together and moving slightly.

That expression of urgency but powerlessness infected everyone.

Even Luo Hao himself didn't notice that his "acting" skills amplified his mood and invisibly cleared some obstacles.

"Let's go and have a look." Liu Haisen was still doting on Luo Hao, and he said helplessly, "If there's nothing else, let's go. I'll treat you to dinner later. You just come to the provincial capital for a day, and I can't let you go hungry. go back."

"Thank you, thank you." Luo Hao clasped his hands together, bowed slightly, and showed a grateful smile on his face.

This expression is very ordinary, but with the blessing of "acting skills", it is extremely contagious, as if rejecting Luo Hao's request made a huge mistake.

The doctor on duty was also helpless, but in the end he gave Luo Hao a white suit of his own.

After changing clothes, Luo Hao entered the ward.

Something is wrong with the patient!
If it were normal, without system prompts, Luo Hao might ignore the patient's subtle changes.But the system clearly wrote "liver shock" in black and white, and Luo Hao could see the changes in his skin at a glance.

yellow!

"How do you feel?" the doctor on duty asked.

At the same time, Luo Hao walked to the patient and said in a deep voice, "Close your eyes."

The patient was stunned for a moment and subconsciously followed Luo Hao's instructions to close his eyes.

"Huh?" The doctor on duty walked to the bedside. At this time, Luo Hao had already opened the patient's eyelids.

"Damn it?! Fuck!!" The doctor on duty was startled and swore in front of the patient.

"Draw blood and test." Luo Hao said solemnly.

Yellowish eyelids are a sign of jaundice. A patient with cardiac tamponade suddenly developed jaundice, which was unexpected by the doctor on duty.

Liu Haisen originally just stood at the door and did not come in at all, but after hearing the words of the doctor on duty, he took three steps at a time and "flew" over.

Turning the patient's eyelids with his own hands, a chill rose from Liu Haisen's heart.

Why did the patient become so good when he was so good?

impossible! !
After blood was drawn and tested, the doctor on duty personally took the specimen and trotted off to the laboratory.

The doctor on duty delivers the specimen in person, and the doctor in the laboratory department will definitely do an emergency liver function test as soon as possible. This is the most time-saving method.

It is also the most helpless method.

"Ronald, how did you know?" Liu Haisen asked in confusion as he left the ward.

"Teacher Liu, I guessed it."

"..." Liu Haisen glanced at Luo Hao fiercely.

This guy must not be telling the truth.

"Let's wait for the lab test to come back, it should be soon."

Liu Haisen was full of questions, but he couldn't ask them.

Chen Yong stood aside with a question mark on his forehead.

However, there is no way to determine the extent of the patient's liver shock with just a physical examination without the support of laboratory tests.

Soon, the doctor on duty came back with a serious face.

He had contacted the second line on the way, and after running back, without waiting for Liu Haisen to ask, he said directly, "Fulminant liver failure, AST > 7000 U/L, ALT 4141 U/L!"

Gan!
Liu Haisen thought that the patient's condition was critical, but he did not expect that the laboratory indicators would deteriorate to this extent in a short period of time.

"Junior brother, what do you think?" the doctor on duty asked.

Can he give a diagnosis?Liu Haisen also looked at Luo Hao.

To be honest, Liu Haisen didn’t believe it.

Liu Haisen knew the patient's medical history. It could be said to be simple, but it could be said to be complicated... extremely complicated.

Just because he was drunk and vomited a week ago, he had blood in his stool, pericardial effusion, and fulminant liver failure a week later.

Is there a causal connection between this?

At least Liu Haisen couldn't connect them.

"I'll try." "Try?"

"Try?"

Liu Haisen and the doctor on duty asked in unison.

If it works, it works. If it doesn’t work, it doesn’t work. What the hell is it?

With surprised eyes, Luo Hao took out his mobile phone, made a call and started to "try".

The call was quickly connected and it was the voice of a kind old female.

"Hello, Teacher Zhao, my name is Xiaoluohao." Luo Hao greeted cordially.

"Xiao Luohao, are you in the imperial capital or in Lin'an?" Teacher Zhao asked.

"No, I'm in the provincial capital of my hometown, and there's a critical patient in the emergency room here..."

Luo Hao didn't hesitate, and after a brief greeting, he began to report the medical history.

Just like a general ward round for all staff, Luo Hao explained the patient's condition clearly and concisely and reported it to the superior doctor.

Liu Haisen and the doctor on duty were dumbfounded.

Try it, that’s what it means.

Just call someone, but I don't know who Luo Hao is calling.

"Oh, that's right." The old man pondered for a few seconds, "Check anti-nuclear antibodies, anti-dsDNA, complement C3 and C4. Perform pathological examination on the pericardial effusion puncture fluid, it is estimated to be exudate."

"Okay, Teacher Zhao, what disease do you think it is?" Luo Hao asked.

"The probability of systemic lupus erythematosus is very high." The old man on the other side of the phone said without hesitation.

"..."

"..."

Liu Haisen, the doctor on duty, and Chen Yong were confused for a while.

The patient's medical history seems to me to be extremely complicated and clueless, and everyone who comes into contact with the patient is like a headless fly, unable to find the key points at all.

But Luo Hao just made a phone call and briefly reported his medical history, and the old man on the other end of the phone gave a diagnosis.

"Although systemic lupus erythematosus has only a 1.2% chance of causing cardiac tamponade, considering complications such as fulminant liver failure and renal failure, the diagnosis is still warranted."

"Go get it checked. If the results come back and you're unsure, call me."

"Okay, Teacher Zhao, thank you for your hard work." Luo Hao said while bowing, as if the old man was right opposite him, and as if the old man could see his respect.

"Then I'll hang up. When will you come to Lai'an? Remember to come see me. I haven't seen you in a few years and I miss you a little. Please hurry up and come." The old man hung up the phone without saying much.

Liu Haisen and the doctor on duty were like sculptures, stupid and didn't know what to do.

"Brother, please do a blood test to check for antinuclear antibodies, anti-dsDNA, complement C3 and C4."

"Antinuclear antibody tests generally take 48-72 hours to produce results, but if urgently needed, results can be produced in 3 hours."

"It's troublesome."

Luo Hao said, bowing slightly.

"Hey, why are you so polite?" The doctor on duty quickly went to work, but when he reached the door of the doctor's office, he turned around and asked, "Which big boss are you consulting?"

Luo Hao said a name, but the doctor on duty had never heard of it.

"An old man from the 80s presided over the general ward rounds of ZJ Province." (Note)
Uh……

Provincial chief ward inspection?
Not only the young doctor on duty, but even Liu Haisen had never heard of this weird statement.

Ward rounds in the medical system are generally limited to departments. There are almost no ward rounds in major surgical departments within the hospital, and ward rounds in major internal medicine departments only exist in high-level tertiary A hospitals.

There has never been a ward round between hospitals in the city, let alone a provincial round.

The provincial general ward inspection is still a province with abundant medical resources...

Liu Haisen burst into tears.

He had never heard of it, but he immediately believed it through just a few words.

The old man's words were firm and powerful, and his tone was calm but unquestionable.

What kind of god is this?

The doctor on duty went to work in a daze. Luo Hao looked at Liu Haisen and said, "Teacher Liu, can you help me push the anti-nuclear antibodies? The patient may not be able to survive that long."

"I'll do it." Liu Haisen sighed and started calling people.

Although it takes a lot of favorability and honor points to shake people on the weekend, Liu Haisen still did it.

First, because the patient's condition was indeed serious, Luo Hao did not act alarmist.

Secondly, Liu Haisen was also curious about whether this diagnosis was correct.

Luo Hao tried it, and he actually found out the boss of the ZJ Provincial General Ward Round. I think the old man was nearly a hundred years old.

The old man gave Luo Hao a diagnosis directly after listening to Luo Hao's report. He was extremely doting on Luo Hao and urged Luo Hao to see her.

Luo Hao seemed like her most favored grandson.

This boy has something!

three hours later.

Liu Haisen looked at the data on the computer screen in a daze.

Next to him, the second-line professor in the Department of Circulation was nervously dialing the phone, his hands trembling a little.

If you are in doubt, you must look for rheumatism immunity.

The "exactly" patient's test results provided an almost definite diagnosis of systemic lupus erythematosus.

"Director Liu." After making the call, the second-tier professor felt much more relaxed, "Thank you."

"..." Liu Haisen was a little confused, but he still accepted the gratitude.

He knew that without Luo Hao's try, the patient's condition would have been delayed until the patient's test results came out.

It's hard to say that we won't be able to save him, but if he can be a day early, it's a day, if he can be an hour early, it's an hour.

Things were on track, Liu Haisen glanced at Luo Hao.

The task was completed, Luo Hao was looking at the system panel, feeling happy.

The patient's diagnosis was clear, but Luo Hao didn't believe that the First Hospital of the Medical University could not even cure systemic lupus erythematosus.

Anyone who "points fingers" will be troublesome. Luo Hao has always had a sense of proportion.

"Teacher Liu, would you like to take me to another place?" Luo Hao whispered.

After leaving the Department of Circulation Medicine, Liu Haisen stopped in the corridor and looked back at Luo Hao deeply.

"Teacher Liu, what are your instructions?"

"Xiaoluohao, when you said try it, is this what you meant?"

"Uh, what else?" Luo Hao was a little surprised.

"..."

"Mr. Zhao is a great doctor in the field of rheumatology and immunology. If you are in doubt, you must try to find a rheumatology and immunology doctor."

"Are you familiar with her? You call her casually to disturb others." Liu Haisen asked.

"It's not casual." Luo Hao smiled, "Human life is at stake, Teacher Zhao won't be unhappy. And as doctors, don't we have to report to the superior doctor if we don't understand the disease? This is a basic skill.”

"..."

Liu Haisen once again fell into deep confusion and couldn't extricate himself.

Calling someone to shake someone off is a rough statement but not a rough one.

But in Liu Haisen's mind, it was limited to this hospital, and other hospitals in the provincial capital were not within his scope of consideration.

And what about Luo Hao?

A phone call was made to Teacher Zhao, the general ward inspector of ZJ Province.

Liu Haisen didn't know how to describe his tangled and complicated mood.

I originally wanted to take advantage of Luo Hao's opportunity to "visit" the First Hospital of the Medical University to introduce him to him, so that Luo Hao would know that the mine is just a small puddle.

But it wasn't until now that Liu Haisen remembered that Luo Hao was an eight-year Ph.D. student at Xiehe University. It was said that he was very successful at Xiehe University at that time, but he returned to the Mines General Manager after not knowing what happened.

Looking back now, Luo Hao's success in Xiehe was definitely not a rumor, and it was even somewhat derogatory to a certain extent.

Luo Hao didn't just thrive in Xiehe.

It was getting late, it could even be said to be very late, and we missed lunch time.

"Ronald, are you still in time? Don't be in a hurry to go back." Liu Haisen glanced at his phone.

"Teacher Liu, I have to get the car and get back to Donglian before dark."

"Hey, before dark?"

"Yes, if possible, I won't take the night highway." Luo Hao felt a little regretful, but then smiled, "It's okay, it's okay. Teacher Liu, don't you still have to go to the mine manager for surgery? I'll treat you next weekend."

Liu Haisen still felt a little regretful and didn't know why.

Before he could answer, his phone rang.

When I picked up the phone, there was a hurried voice on the other side. Before Liu Haisen could speak, the other side hung up the phone.

Liu Haisen seemed to be wearing a mask of pain, and his muscles were as hard as if they had been filled with concrete.

"Teacher Liu, then..."

"Don't leave yet, let's wait for a while." Liu Haisen said with a frown.

"what happened?"

"The director of the Department of Rheumatology and Immunology said he must see you."

Luo Hao was fine. He didn't know the director of Rheumatology and Immunology of the First Hospital of the Medical University, so he stood at the gate of the inpatient department and found a quiet place to chat and laugh with Liu Haisen.

During this period, Luo Hao received a call from Section Chief Duan, and they wanted to "hitchhike" Luo Hao back to Donglian City.

Before the director of rheumatology and immunity showed up, Section Chief Duan and Zhou Tianci walked to find Luo Hao.

They didn't take a car. They probably got off the car outside the hospital and walked into the First Hospital of the Medical University.

Boss Coal's car is too ostentatious, and it will definitely not be good for others to see it.

"Little Luo, I've caused you trouble again." Section Chief Duan waved from afar, with a gentle and friendly smile on his face.

"Chief Duan, you're welcome." Luo Hao said with a smile, "Please wait a moment, I have something to do here."

"Harm, judging from what you said, it was Xiao Zhou and I who disturbed you."

As he said that, Section Chief Duan's face sank, and he pretended to be serious and "reprimanded", "I already told you to call me Brother Duan, why are you still calling me Section Chief Duan?"

Zhou Tianci was slightly embarrassed, but still stood aside with a smile on his face.

"Uncle, Uncle!"

An old doctor with white hair ran out of the inpatient department, shouting loudly as he ran.

He ran straight towards Liu Haisen, who was stunned for a moment.

Uncle?

Who is Uncle?

Who is Director Shen calling? !
……

……

Note: An old director who graduated from Zhejiang Medical University and is about to retire mentioned this in a casual chat. When he was a trainee in the 80s, he had the matter of provincial general ward rounds.

(End of this chapter)