White armor

Chapter 352 The cleaning lady took a look - Rheumatology and Immunology is on the 7th floor

"That's national policy, what are you thinking about?" Zhuang Yongzhi sat upright on the sofa, "Xiaoyan, take care of business."

"Dad~~" Zhuang Yan used her ultimate move - transformation and summoning her daughter slave.

The word "Dad" was so melodious and heart-wrenching that Zhuang Yongzhi's originally hard heart suddenly turned as soft as a thread.

"Xiao Yan, be serious." Zhuang Yongzhi sighed, "I'm telling you, Luo Hao is so smart, how could he not know that I can't touch this matter?"

"But my senior brother asked me to come back and do your work."

"This matter was taken care of by the director, who ran up and down, submitted materials, and then the hospital acquiesced, playing a little bit of edge ball within the scope allowed by the rules."

"What's the borderline?" Zhuang Yan asked.

"During the operation, two types of catheters are used." Zhuang Yongzhi thought his daughter really didn't understand, so he explained, "To ensure the quantity of bulk procurement and complete the operation, this tests the basic ability of the clinical director."

"Can……"

"There's no buts. If you can do it, then do it. If you can't, then resign. If Shen Zizai doesn't want to do it, there are plenty of people willing to do it." Zhuang Yongzhi said the words that everyone was familiar with.

"Dad, why do you say that?" Zhuang Yan expressed regret that such words came from her father's mouth.

"The truth." Zhuang Yongzhi glanced at Zhuang Yan's head. "Now that Shen Zizai is leaving, the professors in his group are going to trample on our doorstep."

"There is no threshold in our house."

"For example, a few years ago, a professor who led a group in the neighboring hospital hoped that the director would die, and he even made a wish when he went to worship the gods." Zhuang Yongqiang laughed.

"!!!"

"Let's not talk about these ghosts and gods. There is a city-level hospital nearby. The director of the ENT department is quite mean and resentful. Then one day, a deaf-mute patient came to see him for a specialist consultation on the weekend."

Zhuang Yan listened carefully.

Clinical practice and society are completely different from what Zhuang Yan had imagined.

"The director was in his forties, in the prime of life, and he was seduced into bed with her. The incident was even captured on camera."

"Camera?!"

"It happened many years ago," Zhuang Yongzhi said. "A few days later, the videotape was on the disciplinary inspection desk."

"Gah!"

"Society is like this. He is just the director of a department in a prefecture-level hospital. How many deputy directors of prefecture-level hospitals have jumped ship to become deputy directors in our provincial capital? Doesn't Shen Zi know?"

Zhuang Yongqiang scolded, "You're always busy raising pandas. I think Shen Zizai looks like a panda. If he really wants to go, go ahead. The hospital doesn't need him."

"Is this true?" Zhuang Yan asked in a low voice, still unable to imagine it.

"Of course it's true." Zhuang Yongqiang said, "Don't worry, what happened today must be that Luo Hao felt it was inconvenient to bring you with him, so he found an excuse to get you away."

"Dad~~~Senior Brother has never arranged anything for me to do." Zhuang Yan put on a pitiful look.

"Well, tell Luo Hao tomorrow that he told me. I know. I told you with a smile."

"Huh? That's all?"

"Well, he definitely understands." Zhuang Yongqiang said, and then looked at Zhuang Yan, "I've finished talking about your business, what about mine?"

"Dad, I just started working in the clinic and I don't want to go on a blind date yet." Zhuang Yan pouted and denied.

"Is there any connection between work and blind dating?" Zhuang Yongqiang said with a serious expression, "This young man is very good. My classmate introduced him to me."

Zhuang Yan pouted and expressed her opposition with silence.

But Zhuang Yongqiang pretended not to see it and continued, "If it were someone else, I could still say that I was useful. This young man is no worse than your senior brother."

"How is that possible! My senior brother is the most powerful!" Zhuang Yan immediately retorted.

Zhuang Yongqiang felt a little aggrieved.

What a pity for Luo Hao, he missed the chance by only half a year! If Luo Hao could become his son-in-law, I'm afraid that he, the father-in-law, would also benefit from it.

what a pity.

But the person in front of him is indeed no worse than Luo Hao.

If it was an ordinary person, Zhuang Yongqiang still felt that he could help him to some extent. Even if it was the various hospitals in the imperial capital, he could still help to some extent.

This is what many people have done, finding a son-in-law to provide resources and channels. But the resources that this person can leverage are beyond your imagination.

"Luo Hao is capable, I admit that, but there are countless talented people in the world."

"That's also the strongest brother."

"Some time ago, Luo Hao was reviewing the Qing Ba. He was not there, so the Qing Ba review went on as normal. Do you remember?"

"Yes, in the end, Teacher Yun Taiyun went to do the defense, and he passed it successfully." Zhuang Yan answered as a matter of course.

"This year's Young Thousand Talents competition was supposed to hold its defense in June or July. What month is it now?"

"Yes! I heard that Mr. Zheng from the Magic City wanted to help my senior brother run Qing Qian and use the relationship of overseas companies to try to get a certificate, but my senior brother refused."

Zhuang Yongqiang nodded, ignoring the fact that his daughter was a little fangirl of Luo Hao, and continued, "Qing Qian's postponement has its reasons, mainly to wait for him to return to China."

"Waiting for someone? That's Qing Qian! Dad, stop making trouble."

"I'm not making a fuss. You are a young talent in the field of neurosurgery. They don't look down on me, a dean from a remote village. It just so happens that you are the right age. You can go and see me when you have time."

"It depends on other people's convenience," Zhuang Yongqiang emphasized.

Zhuang Yan was a little unhappy, but she could sense her father's attitude. At worst, she would just go through the motions.

Okay, let's just do it perfunctorily.

"Neurosurgery is the most chaotic department." Zhuang Yan complained.

"Huh? What's the mess?"

"The academician who recommended the successor before Academician Wang passed away..." Zhuang Yan repeated the gossip that Luo Hao had told her.

Zhuang Yongqiang had heard a little about this, but since he was not a neurosurgeon, he didn't know much.

"Academician Wang has been dead for many years. Just forget about these things."

"Boss Zhang is really amazing. Dad, have you ever heard of anyone who is willing to take over the leftovers or botched surgeries done by others?"

That’s right, Zhuang Yongqiang nodded.

"After my senior brother finished speaking, I asked my teacher, and he said that he had a friend who had an acoustic neuroma, which was severely adhered to the brain stem. He consulted many experts, including a big boss in neurosurgery, but they all said that surgery was not possible. In the end, Boss Zhang performed it on him."

Zhuang Yan's eyes lit up when she talked about these things.

"What happened next? The operation was successful, right?" Zhuang Yongqiang didn't want to spoil his daughter's interest, so he continued to ask.

"The operation was not only successful, but also extremely successful." Zhuang Yan said with some pride, leaving everyone in suspense.

But it was only for a moment, and Zhuang Yan continued, "Dad, the patient who had the operation performed by Boss Zhang didn't feel any pain at all."

"???"

Zhuang Yongqiang was stunned. There was no pain after the operation. What the hell was this?

"It's true. The patient found it incredible at the time. He thought that after he was given general anesthesia, Boss Zhang didn't perform the operation at all and just pushed it off. For this reason, the patient's family members went to Boss Zhang to find out the situation. In fact, they were almost at loggerheads with each other."

"!!!" When Zhuang Yongqiang heard Zhuang Yan's description of Mr. Zhang from the Temple of Heaven in the Imperial Capital, he suddenly felt fascinated.

Neurosurgery is extremely difficult. Being able to perform surgeries that others dare not do already makes you a big shot among big shots, reaching a level that others look up to.

Will the surgery be pain-free?
Zhuang Yongqiang has never heard of it.

"It's true. I didn't believe it after I found out. I checked with my senior. He said that if neurosurgery is done well, this situation is indeed possible. Not only in neurosurgery, but also in thoracic surgery day surgery, laparoscopic resection of small nodules can be done without pain."

Zhuang Yongqiang was silent.

He knew about the latter. Director Xu of the Department of Thoracic Surgery had mentioned the idea of ​​day surgery, but the team had discussed it and had never carried out a similar project on a large scale for fear of problems.

There have only been a few similar day surgeries, and they were just for publicity. No one would really feel comfortable letting a patient under general anesthesia go home after six hours.

Zhuang Yongqiang was stunned as to what he was thinking about.

Yes, it doesn’t hurt. Luo Hao told Xiaoyan how powerful Boss Zhang from the Imperial Capital Tiantan Hospital is.

"Are Luo Hao and Boss Zhang familiar with each other?" Zhuang Yongqiang asked with an idea in mind.

"I think he knows me, but not as well as I do with Boss Chai."

"You!" Zhuang Yongqiang calmed down and suddenly remembered that this was not the topic of today!
Dean Zhuang, after all, came from a clinical background, and when he suddenly heard that Mr. Zhang from Tiantan Hospital was so skilled and even nearly received complaints for performing surgeries so well, his attention was drawn to him.

"Xiao Yan." Zhuang Yongqiang said in a deep voice, "You should meet the young man who came back from overseas. We can talk about it later if it works out, but it should give you more options. You can go and take a look. If it doesn't work out, then forget it. I'm not counting on his resources, and I'm not to the point of selling my daughter. Let's see if it's fate. After all, he is a young talent."

"Dad, I'm so busy every day." Zhuang Yan shirked.

"Ask for leave? I'll give you one."

"..."Zhuang Yan was speechless. After thinking about it, she nodded and agreed to this matter.

It is said that being urged to get married is inevitable. Zhuang Yan never expected that her parents would urge her to get married right after she graduated from graduate school.

What exactly should I do...Zhuang Yan thought about it and finally decided to ask Meng Liangren the next day.

In this kind of matter, Lao Meng is reliable and Chen Yong is the least reliable one, even though Lao Meng's family was not happy in the past.

Seeing that Zhuang Yan agreed, Zhuang Yongqiang smiled with satisfaction.

My daughter has become more sensible than before. I thought I would have to say a lot to Zhuang Yan, but I didn’t expect it would be so easy.

……

The next day, Zhuang Yan came to the hospital and found out what had happened last night.

The patient with abnormal mental state turned out to have a heart attack!

Zhuang Yan also went to check on the patient. The patient had undergone emergency surgery last night and had a stent placed, and is now recovering.

When talking about what happened yesterday, the patient has "forgotten" everything and doesn't remember anything.

Senior brother is awesome!
Zhuang Yan's admiration for Luo Hao reached a new level. As for the person her grandfather mentioned, Zhuang Yan just planned to pay him a perfunctory visit and be done with it.

It's amazing that he's the child of an academic tycoon. He can postpone the selection of Qing Qian for several months. His power is indeed great, but his real level is no match for Brother Luo Hao.

I changed shifts early in the morning, did rounds, and started surgery.

Shen Zizai did not go to the operating room, but went to the hospital to deal with the catheter issue.

Seeing Luo Hao and Chen Yong concentrating on the operation through the leaded glass, Zhuang Yan asked in a low voice, "Meng, my dad told me to go on a blind date recently." "Blind date, of course." Meng Liangren showed a gentle smile on his generous face, "Good men and women usually don't flow into the blind date market, they are basically reserved at school."

“???” Zhuang Yan was stunned. Old Meng just told her that it was her duty, but why did he then say that those with good conditions generally would not show up?
Meng Liangren also felt that what he said was a bit simplistic. "You are different. Your blind date is the upper reaches of the upper reaches. The elders in your family let you get to know each other. If you are a good match, you will continue to get along with each other in the future. It is not a blind date in the conventional sense."

"Oh, I don't really want to." Zhuang Yan didn't get the answer she wanted and looked gloomy.

"No." Meng Liangren said seriously, "Let me give you an example. Not to mention the No. 1 in the province like Medical University No. , when I was in the Infectious Disease Hospital, every time a new person came in, the head nurse would run to the Personnel Department to look at the relevant information."

"Why does the head nurse like to introduce people so much? It seems like every hospital is the same." Zhuang Yan was puzzled.

"Haha, head nurses everywhere like to do this, most likely." Meng Liangren said with a smile, but did not explain why, "Those young people who look quite good on paper have already been noticed by others before they even arrive."

"Like my current situation?"

"Almost. The young man that Dean Zhuang introduced to you will definitely not be bad.

I have a classmate who studied for a master's degree and a doctorate after graduation. When he was studying for his doctorate, he was spotted by the dean of the affiliated hospital and stayed in the local hospital after graduation. Later, my classmate became very successful and performed very well in surgery, so his father-in-law arranged for him to go to Jishuitan. "

Zhuang Yan curled her lips but did not refute Meng Liangren's words.

Because the catheter is not easy to use and Shen Zizai is still working hard to get it, the department has not accepted any new patients recently.

Today are the last two patients in the department, and the rest will have to wait for Shen Zizai.

Luo Hao also gradually adapted to the new catheter, and the operations were performed a little faster than before. The two operations were completed in a short time.

Kicking open the airtight lead door, Luo Hao strode out of the operating room.

"Senior Brother." Zhuang Yan's hand had already reached out to catch the lead cap that Luo Hao was about to throw on the ground.

"Finally done." Luo Hao breathed a sigh of relief, quickly took off all his equipment, and sat down on the sofa with ease.

Meng Liangren did not compete with Zhuang Yan for this opportunity to flatter and show off his presence. The time had already passed. It would definitely not be a good idea to steal the limelight from such a special young person like Zhuang Yan.

"Senior brother, many classmates sent me messages this morning saying that Zhuzi has a child?!" Zhuang Yan kept it to herself until Luo Hao finished his work, then she asked confidently.

"Yes, I have it, Takeda."

"..." Zhuang Yan was sweating profusely, "Really called Zhuda? Senior brother, can you improve your naming skills a little bit?"

"Or you can call him Ergou. It doesn't matter what. He is my Zhuzi's flesh and blood, and also the first giant panda in Hadong."

When Luo Hao talked about Zhuda, his face glowed faintly.

"It's trending on the Internet again. The whole country knows about it."

"Of course, this is necessary to warm up for the Ice and Snow Festival." Luo Hao smiled, "I am really looking forward to the Ice and Snow Festival. When the time comes, Zhuzi will come back, ride on the float, and it will snow heavily."

[As the saying goes, a man is a boy until he dies~~~]

"Junior Master Uncle, Junior Master Uncle!"

"Huh? What's wrong?" Luo Hao was a little confused when he heard Director Shen's voice.

The interventional department has less dealings with rheumatology and immunology, so I haven’t seen Director Shen much since I came to the First Hospital of Medical University.

Why are you looking for me in such a hurry?

"I have a patient here who can't be cured no matter what we do. Could you please help me take a look at him?" Director Shen said respectfully.

"I'll go take a look, but I may not be able to make a diagnosis, Director Shen."

Luo Hao got up to change his clothes, and Zhuang Yan followed him and asked, "Brother, can I go with you to take a look?"

"Change clothes and go."

Luo Hao answered simply.

Carrying Zhuang Yan, who was like a little tail following him, Luo Hao strode to the Rheumatology and Immunology Department.

After entering Director Shen’s office, Luo Hao narrowed his eyes.

Director Shen's hair was shiny and greasy, like a light bulb, so bright that Luo Hao couldn't open his eyes. The image of a middle-aged greasy man came to his mind. Luo Hao was stunned for a moment and sighed in his heart that he must not be so greasy when he was in his forties.

"Junior Master, you are here. Please sit down." Director Shen quickly asked Luo Hao to sit down.

"What patient?"

"Half a month ago, a young man frequently woke up at night, sweating all over, with abdominal pain, fatigue, swollen lymph nodes, and strange red lumps on his skin."

"Speak nicely, don't be weird."

"Master, I'm not exaggerating. It is indeed weird. It looks like the paw prints of some small animal, one after another." Director Shen explained quickly.

"and then?"

"My family tried to find a cure, but it never got better."

"By the time he made an appointment with me, his liver, kidneys and bone marrow were failing.

I immediately admitted the patient to the hospital because his immune system was out of control and his condition was serious.

Within two weeks, more than 30 kilograms of ascites were removed from the patient's abdominal cavity, and retinal hemorrhage caused him to lose the sight in his left eye.

Now my family members are increasingly believing in ghosts and gods.”

Zhuang Yan's eyes widened. Ascites, 30 kilograms? Normally, ascites is not measured in this unit.

"Hmm?" Luo Hao hummed as he listened to Director Shen's medical history.

The voice was long and seemed doubtful, but Zhuang Yan's eyes suddenly lit up.

"The CT scan showed that the patient had swollen lymph nodes all over his body. I felt that this was a sign of lymphoma. I consulted the hematology department and did bone marrow biopsy and other tests, which ruled out lymphoma.

The entire hospital was consulted...considering that this could be a serious case of systemic lupus erythematosus or mononucleosis.”

The words "hospital-wide consultation" sounded a little awkward when Director Shen said them.

Generally speaking, the Rheumatology and Immunology Department is the main invited party for hospital-wide consultations at the First Hospital of Medical University. After all, for many rare diseases, no other directors know who they are, so they have to ask Director Shen for diagnosis and treatment.

"What treatment was given?" Luo Hao ignored Director Shen's embarrassment and asked directly about the treatment.

"There is no good way now. We can only give him a glucocorticoid shock." The light above Director Shen's head became brighter.

Luo Hao stopped talking and began to read the patient's medical records and test reports from the beginning.

After taking a quick look at the medical record, Luo Hao made a horrible expression, then focused his attention on the test report.

A few minutes later, Luo Hao stood up and said, "Let's go see the patient."

"Master Junior, do you have any directions?" Director Shen asked hurriedly.

"Yes, let me take a look."

"Okay!" Director Shen grinned, smiling particularly happily, "I've wanted to ask you to help me take a look early in the morning, but every time I feel that the test and examination should be more thorough, otherwise I'm afraid that there will be nothing for what I want, and you, Junior Master, will be unhappy."

Zhuang Yan stared in amazement as she listened to Director Shen, who was in his fifties, calling her "young master uncle" in a friendly manner.

That's the wrong way of saying it.

However, Director Shen's attitude towards his senior brother was truly respectful. So, what should Director Shen call me? Zhuang Yan was delighted when she thought of this.

"Call me earlier next time." Luo Hao said seriously, "There are some diseases that you, Director Shen, can't diagnose, but even the cleaning lady at my Union Hospital can diagnose them."

"..."

Zhuang Yan was stunned.

However, this remark, which sounded extremely provocative and even insulting to Zhuang Yan, did not make Director Shen angry at all.

He tied up his bald head and kept promising that he would not be polite in the future.

Arriving at the ward, Luo Hao took a look and confirmed his guess.

The patient's belly was bulging and traces of swollen lymph nodes were clearly visible on his body.

Although the patient was lying down, his stomach was very swollen and it was unknown how much ascites was inside.

"this……"

Just as Director Shen was about to make his introductions, Luo Hao nudged his arm with his elbow, gave him a wink, and began the physical examination step by step.

Luo Hao's movements were simple, and his physical examination was also the most common one.

After completing the physical examination, Luo Hao turned around and left without saying a word.

"Master Junior, how is it?" Director Shen asked, holding his bald head.

"Central Castleman's disease is included in the first list of rare diseases issued by the country. I guess you haven't seen it."

"Castleman disease?!" Director Shen muttered to himself.

"There is a group at Peking Union Medical College who has been researching related diseases. I'll give them a call and send it over." Luo Hao said, "I don't know how far the research has progressed, but without professional treatment, the patient will only live for two to three years, which is quite miserable. When I was in school, I saw a patient in Professor Liang's group who had lived for five years. I hope there will be a breakthrough soon."

"Good good."

"I see that the patient's family is not well off, so I'll talk to Professor Liang to see if the funds can be used for scientific research."

"That's great! I was worried about it." Director Shen's head became brighter and brighter, just like Erhei in the department, which was all covered with patina.

"Director Shen, next time if you are unsure, don't hesitate to call me directly. I will come over after the operation." Luo Hao raised his cell phone.

"Okay!" Director Shen smiled brightly.

Zhuang Yan was confused. Castleman disease? What is that?

After returning to the ward, Zhuang Yan began to look for information.

She looked at it for a long time but still couldn't understand it. She only knew that it was a lymph node disease of unknown cause.

This is even more strange. If it is lymph node disease...there is no relevant diagnostic basis from the patient's medical history.

Poor sleep, frequent waking, abdominal pain, and strange red spots on the skin.

Which one is related to lymph node disease?
Zhuang Yan wanted to ask Luo Hao, but when she thought of what Brother Luo said about the cleaning lady at Union Hospital being able to diagnose the disease, she became furious.

Doctors from Peking Union Medical College are good in every way, except that their condescending attitude is hard to accept.

A few days later on the weekend, Zhuang Yan went to the imperial capital. The patient also happened to be going to the imperial capital, so Zhuang Yan volunteered to take on the responsibility of escorting him.

They first came to Union Hospital. Zhuang Yan was not very familiar with the place and looked around.

A cleaning lady passed by with a broom in her hand. She glanced at Zhuang Yan, then at the patient, and said, "Rheumatology and Immunology is on the 7th floor."

(End of this chapter)