White armor

Chapter 357: Cat Brings Fortune, Cat Brings Fortune

"No, you can tell from my accent that I'm a tourist." Luo Hao smiled, "But I know a lot of experts in West China. Please continue talking. I'll take a look at the situation and help you contact an expert."

The girl's eyes lit up, but then dimmed.

Expert? Haven’t you met enough experts?
"Well, the place where the pus was drained has not been healed. Some time ago, I started to cough and had pneumonia. I went to West China Hospital for hospitalization, and the pneumonia was cured. I also did a lot of tests, but I still don't know what the disease is."

"Oh." Luo Hao nodded.

Chen Yong was already preparing to make a fire. He took out a big black pot from the warehouse, the same kind that Feng Zixuan carried every day.

As for what Chen Yong wanted to do, Luo Hao didn't think about it, but just watched quietly.

Chen Yong returned to the old place and was visibly happy. He smiled at the cats very sincerely, more sincerely than when he smiled at the girls, as if they were a group of Liu Yiyi.

"Oh! I remember it!" the girl suddenly exclaimed, "I was wondering why he looked so familiar!!"

"What do you remember? The Titanic?" Luo Hao asked.

"He really looks like Leo when he was young." The girl sighed with light in her eyes, and then opened her phone.

Mobile phone screen saver...

The girl’s phone screensaver is a picture of a bamboo man holding a bamboo pole, slanting towards the sky, and nailing a bald eagle to death, which is the same as Shen Zizai’s screensaver.

“Do you like this picture too?”

"Yes, nearly half of the people around me use this picture as their screen saver." The girl said with a smile.

She opened her phone and found the promotional photo of Chen Yong and Zhu Da in the photo library.

After comparing the two, the girl finally confirmed that it was Chen Yong.

"I'll tell you, I'll tell you..."

Luo Hao was not in a hurry. The patient had been ill for a long time and there was no need to rush.

As for this patient, he can be shown to students as a standard "sample" of difficult and complicated diseases to increase their clinical experience.

"You are from the Panda House!" The girl was a little excited, and the blush on her face was faintly visible in the darkness.

"We are doctors at the First Hospital of Medical University, and the wild panda project is just a project I have been working on since I was a child," Luo Hao explained.

"what?"

"There is information on the Internet, you can check it out." Luo Hao smiled.

"!!!"

The girl was silent for a long time, and saw Chen Yong skillfully start a fire and boil water, while he picked corn, washed it and threw it into the big pot.

A hundred or so cats sat obediently in the open space due south, waiting eagerly.

The scene was a bit weird. Luo Hao felt that if it was used in a horror movie, a terrible terror would occur in the next second.

But there was something different about it. The atmosphere was somewhat warm, whether it was Chen Yong or the cats.

In the firelight, the kittens had smiles on their faces instead of fierce murderous intent. So that's how it was, Luo Hao also smiled, but he didn't know what Chen Yong was cooking corn for.

Do cats eat corn?
Luo Hao didn't know.

After a long time, the girl sighed and asked, "Where were we talking about just now?"

"A lot of examinations have been done." Luo Hao reminded.

"Well, we did a lot of tests, even a bone marrow biopsy, but in the end it was still no result and there was no definite diagnosis." The girl looked a little worried.

"and after?"

"When I was in the hospital, I met an elderly man from Qingcheng Mountain who was also hospitalized for treatment."

"What?"

"They are also sick and need to be hospitalized." The girl laughed, "He told me that my illness can be cured."

Is it so magical?
Luo Hao heard the girl talking excitedly about the results of divination. After being discharged from the hospital, she traveled to Taoist temples and monasteries in famous rivers and mountains in the province.

In the end, it didn't work, so she came to a second-rate place like Zhaogong Ancestral Temple, which was relatively remote and not well known by people.

It actually happened to him. Luo Hao felt a little absurd, but the +5 blessing luck value on the system panel was there to remind him.

“Hopefully this time there will be good results.”

"Huaxi is already very well. Have you sought a consultation? Has he been to the rheumatology and immunology department?"

"Rheumatism and immunology? I don't have rheumatism. The doctor in the respiratory department recommended a bone marrow biopsy to see if it was a blood disease. Later the result was fine, alas."

A sigh, lingering and gentle in the darkness, full of helplessness.

"It's okay. I'll show it to you after they're done." Luo Hao said with a smile.

"you?"

"Union Medical College, Luo Hao, very famous." Luo Hao said seriously.

It was the first time a girl heard someone say that he was famous. The key point was that she had never heard of him before. She just thought that he looked familiar and it felt friendly to talk to him.

That's it?

Although she felt a little dissatisfied in her heart, the girl was very polite and did not refute Luo Hao.

After a while, the smell of cooked corn wafted in the air, and some kittens had already bent down, ready to grab the food.

"Wait a moment, don't be anxious." Chen Yong soothed.

"Did he raise cats in Zhaogong Ancestral Temple?" the girl asked curiously, "Are cats and pandas the same species? Pandas should be bears, right?"

"It doesn't matter whether it's a bear or a cat. Otherwise why is it called a panda, don't you think?" Luo Hao watched Chen Yong start to dry the cooked corn and thought this scene was indeed very heartwarming.

After a while, Chen Yong found a branch.

The branches were covered with pulp from being polished, and were as shiny as the top of Corey Erhei's head. I wonder how many times Chen Yong had polished them.

Chen Yong used a branch to thread a few corns through the corn cobs, "Suck, suck, suck~~~"

The sound of feeding the dog can be heard.

The cat group suddenly became excited, and cats of all sizes pounced on the corn and started to eat it.

"..."

Luo Hao looked at the scene in front of him and suddenly fell silent. He didn't want to say a word and felt very tired.

He had been wondering what adventures Chen Yong had in Qingcheng Mountain.

I didn't expect that this guy was not from Qingcheng Mountain, but a cat feeder in Zhaogong Ancestral Temple.

No wonder Chen Yong always said that he was a casual cultivator and refused to talk about his learning process of Taoism no matter what.

But strange as it is, the scene before me is full of life and love.

The cats ate up all the corns one by one. No cats fought over food. All the cats were very well-behaved and their only target was the corn.

Half an hour later, the cat in front of Chen Yong dispersed, and this guy took a corn and ate it with Liu Yiyi, taking turns to eat.

"Teach you one thing."

"Ah? You say."

"If you have a disease you don't understand, you must go to the rheumatology department." Luo Hao said seriously, "For example, the respiratory doctor was a little careless about your disease. If you had consulted the rheumatology department directly, they should have gotten the correct diagnosis."

“???” The girl didn’t understand and had a lot of question marks in her head.

"In fact, if you don't leave the hospital and the respiratory doctor is driven crazy, he will also find a rheumatologist for consultation."

"???"

The girl didn't understand what Luo Hao was saying at all.

"Zhuang Yan!" Luo Hao shouted.

The sound echoed and buzzed in the mountains where the cats had dispersed.

"Brother, what's wrong?"

Luo Hao briefly explained the patient's medical history and said, "Ask Chen Yong for a quiet room to examine him. I'll give you five minutes to see if you have confirmed the diagnosis."

"Okay!" Zhuang Yan was very interested in her senior brother's test, and took the patient to find Chen Yong with an excited look on her face.

"What are you doing?" Chen Yong came to Luo Hao while chewing corn.

"You're just feeding cats in Zhaogong's ancestral temple? You're not learning Taoism?"

"What do you know? Cats bring wealth. If I don't feed cats, what should I feed? Those stupid monkeys in the back mountain."

"Lucky cat?"

"..." Chen Yong was silent. After hesitating for a long time, he finally nodded.

"Is this a variation of a pun?" Luo Hao asked.

"What I'm asking is, what was the purpose of you asking Zhuang Yan to examine that girl?"

"I saw a patient and gave her a diagnosis. It's still early and West China Hospital of Rheumatology and Immunology is not open yet, so I let Zhuang Yan gain some experience." Luo Hao answered casually.

"You are too careless."

"Then let me ask you, do you know what disease the patient has?" Luo Hao asked.

"I don't know." Chen Yong said truthfully, "It sounds like it's all side effects caused by oral ulcers, nothing else."

"Oral ulcers are also a disease, especially the kind that don't heal for years. You must pay attention to it." Luo Hao said softly.

"Just give the answer."

"I think it's Behcet's disease."

Chen Yong didn't say anything. Instead, he sat next to Luo Hao while biting a corn. He took out his cell phone and started searching for Behcet's disease on Baidu.

Soon, Chen Yong frowned. "Behcet's disease is a rare disease that does have symptoms of long-term oral ulcers and corneal problems, but isn't that a bit too arbitrary?"

"What are you two talking about?" Liu Yiyi came over with a few corns and handed one to Luo Hao.

Luo Hao took it and took a bite.

"Huh? It smells pretty good."

"I just received this Northeastern corn that I mailed over some time ago. The cats here like to eat it, it's sweet." Chen Yong explained.

"What are you two talking about?" Liu Yiyi didn't change the subject and asked the same question again.

"That girl has Behcet's disease. Luo Hao can tell at a glance. Isn't it amazing?" Chen Yong said confidently.

"Huh? Is Professor Luo so powerful? I guess there is relevant information in the medical records of Peking Union Medical College." Liu Yiyi chewed corn and did not question Luo Hao's diagnosis.

"Almost. If you have oral ulcers for a long time and they keep coming back, you should suspect Behcet's disease. But not many people have this disease, and most primary hospitals are unable to give a correct diagnosis, so you have to come to my Union Hospital."

"You are from 912, so stop saying bad things about my Union Medical College Hospital." Chen Yong corrected.

As he spoke, he continued to check, and then he suddenly realized, "No wonder you asked Zhuang Yan to go for a physical examination. You wanted to see if there were any ulcers near the reproductive system?"

"Yes, but clinical physical examinations rarely check that area, so I think Zhuang Yan might have missed it. In addition, the patient had a bone marrow biopsy, so the location of the biopsy should have changed."

"What changes?"

"It's the so-called needle prick reaction. There's some redness and swelling around the needle hole, which looks like a pimple. If there are these symptoms, it can basically be diagnosed as Behcet's disease."

Luo Hao said this and looked at Meng Liangren.

Lao Meng was chewing corn in his mouth, very obediently, without any sense of existence at all.

"Old Meng, you talked a lot with Zhuang Yan. Can you tell me how good Zhuang Yan's physical examination skills are?"

"The level is above average, but Behcet's disease is a rare disease, I don't think Xiaozhuang can do it." Meng Liangren replied vaguely. A few minutes later, Zhuang Yan came out mysteriously.

She didn't say anything to Luo Hao immediately, but asked Chen Yong to help her find something to wash her hands.

After washing for more than ten minutes, Luo Hao felt that Zhuang Yan had washed off all her epidermis, and then he came back.

Several people had already entered the Zhaogong Ancestral Temple and sat down in a side room.

"Brother, is this AIDS? I feel like the patient has ulcers all over his body."

"Oh? Tell me."

"There are ulcers in my mouth, corners of my eyes, and outside my vulva. The site of the bone puncture is also red. Why does it feel like the incision will never heal?" Zhuang Yan raised her hands flat, carefully, three steps away from Luo Hao and others.

Seeing Zhuang Yan's cautious look and her answer, Luo Hao smiled with satisfaction.

"Not bad, Old Meng is doing a good job. The school is a bit like my Union Medical College Hospital." Luo Hao gave a positive evaluation.

But this comment made Zhuang Yan feel mixed emotions.

"I see the main point, but your final conclusion is wrong."

"What should that be?"

"The physical examination is very detailed. How did you do it?" Luo Hao asked.

He did not answer Zhuang Yan's question, but asked further.

Zhuang Yan didn't even think about it and answered directly, "I asked about the medical history again."

"!!!"

The smile on Luo Hao's face faded and he became serious.

"Teacher Meng told me that male and female doctors may come to different conclusions when asking about a patient's medical history."

Zhuang Yan also started to address Meng Liangren as Teacher Meng.

"continue."

"When I asked, the patient said she had an ulcer on the outside of her vulva, which had appeared recently. She had also gone to the gynecology and dermatology departments, but they said it was nothing serious and prescribed Fuyanjie."

"No wonder." Luo Hao murmured.

"No wonder?" Chen Yong asked.

"She had a light minty scent on her body, which made me curious and thought about it for a long time." Luo Hao answered directly without hiding his shortcomings.

"That's Fuyangjie..." Before Chen Yong could finish his sentence, Luo Hao stepped on his foot. "I remember hearing in the group that some men are also using Fuyangjie now."

"what?"

Everyone was stunned.

"It's true, but the efficacy is unknown. Xiaozhuang, please continue. I'm just gossiping."

"I suspected she was lying, so I didn't touch her too much and just did a simple physical examination. I also saw that the needle hole was red and swollen, so I thought it might be caused by a low immune system."

Zhuang Yan briefly recounted the process of her physical examination, and Luo Hao nodded repeatedly.

Lao Meng wants it, Xiao Zhuang wants it.

This is not just a graduate student who has just been in the clinic for a few months, but an experienced attending physician.

They seem to know nothing, but they can avoid most of the clinical pitfalls.

Although Zhuang Yan did not come to the correct diagnosis because of her limited clinical experience, she had checked everything she should have checked.

Even the directors and experts of municipal-level tertiary hospitals may not be able to achieve what Zhuang Yan has achieved.

"You did a good job, and what Lao Meng taught you was also good." Luo Hao affirmed again, and then changed the subject, "But your immunity is low. First of all, you should protect yourself and consider some common diseases, not AIDS."

"Brother!" Zhuang Yan refuted Luo Hao in a rare rebuttal, "300 men in Shancheng were randomly tested and the AIDS rate was extremely high. Did you know about this?" (Note)
"???" Luo Hao was startled, then said, "Mouth, eye, reproductive system triad, what can you think of?"

"Behcet's disease!" Zhuang Yan answered instinctively.

After she finished speaking, she was stunned for a moment.

This is the difference between books and clinical practice.

You may have memorized a lot of knowledge points when you were in school, but when you are faced with the complex clinical situation, you rarely remember them.

After all, clinical practice focuses on common diseases, and rare diseases are rarely considered.

"It turns out to be Behcet's disease!" Zhuang Yan jumped up suddenly.

"Well, you have basically come across the correct answer. Even if you don't get the correct answer, it doesn't matter. If you follow the procedure to write the medical record, an experienced doctor can give a definite diagnosis after taking a look at your medical record."

"This point is indeed beyond the vast majority of doctors in clinical practice."

"good."

Luo Hao was generous with his praise, making Zhuang Yan's little face blush.

Meng Liangren lowered his head and ate corn, and his expression could not be seen clearly.

Chen Yong wanted to say something, but when he saw Liu Yiyi out of the corner of his eye, he stopped talking.

"Especially some details, such as the second consultation and external vulvar physical examination, which Xiaozhuang did, which is very good."

"Such details are actually very important. I once encountered a dangerous situation. At that time, I accompanied my boss to the hospital next door for a consultation. The patient was receiving hyperbaric oxygen, so we waited for a while."

"In the hyperbaric oxygen chamber, I saw someone sitting there for 20 minutes and then he couldn't sit still and started to touch his pockets. I rushed in and pinned him to the ground."

"Want to smoke? In the hyperbaric oxygen chamber?" Zhuang Yan was stunned.

Meng Liangren looked up with corn kernels at the corners of his mouth.

"Fuck, wouldn't the whole building be blown up by the explosion?" Chen Yong was also surprised.

"Well, I searched the patient directly and found cigarettes and lighters on him. Normally, when entering the hyperbaric oxygen chamber, you have to search your pockets and remove any fire sources.

But I don’t know what happened that time, I overlooked this point, maybe the boss was going, and the hospital took up more manpower to entertain the boss. ”

As Luo Hao spoke, he sighed, "There are still many details that need attention. Xiaozhuang has made obvious progress. Praise him."

Zhuang Yan didn't understand Luo Hao's praise and felt a little overwhelmed.

"Brother, you said that even the cleaning lady at Union Hospital can treat patients. I really saw it."

Zhuang Yan wanted to be humble, but she didn't know where to start, so she could only change the subject, which was so awkward that it made people feel a little awkward.

"Yeah, that's normal." Luo Hao became interested and ignored Zhuang Yan's change of topic. He asked again, "Suppose you encounter a patient and his family with very poor medical compliance. They don't want to do any examinations and they don't listen to anything you say. What should you do?"

Luo Hao was talking to Zhuang Yan, but his eyes were on Meng Liangren.

Meng Liangren just lowered his head and ate corn, without even wiping the corn kernels hanging from the corners of his mouth.

"Immediately activate the medical and patient emergency plan, call two or three security guards and male doctors over, and notify the police station to be on standby.

Do not leave the clinic and do not say or do anything outside the clinic, because there are cameras in the clinic that can record audio and video.

Next, the patient will be transferred to the inpatient department, and then to other hospitals, and then to other hospitals. If the public hospital cannot admit the patient, the patient can be sent to a private hospital.

The medical record must be written and filed as soon as possible, and only record the patient's self-report of the condition. It should be clearly stated that the patient and his family firmly disagree with any examination and no diagnosis can be made, and it is recommended that the patient be transferred to hospital.

At the same time, report to the department director, the professor in charge and the medical department immediately.”

Zhuang Yan recited a long list of contents as if she was memorizing them.

Her eyes flickered a little, as if Zhuang Yan herself had some psychological burden.

Is this a good idea? Is this really a good idea?
Zhuang Yan wasn't sure.

Chen Yong held the corn cob in his hand and stared at Meng Liangren in a daze. Liu Yiyi also frowned slightly, as if thinking about something.

Luo Hao sighed, "Okay, if you can implement all of this, you will be a mature doctor."

"Senior Brother, is it really okay to do this?" Zhuang Yan asked when she didn't understand.

"There are several key points in clinical practice. First, you need to be bold and careful. You need to be accurate in your diagnosis. The patient with Behcet's disease just now proved that you are basically qualified. The rest is the clinical experience gained through hard work."

"Second, protect yourself. When you encounter unreasonable patients or their families, just do as I said above, and don't hesitate."

Luo Hao warned.

"Oh." Zhuang Yan responded vaguely.

"Old Meng, you're awesome!" Chen Yong came up to Meng Liangren and patted his shoulder hard.

"They are all small tricks, small tricks."

Meng Liangren spoke vaguely.

"Xiao Zhuang, I've sent you the information of the rheumatologist at West China Hospital. Go see the patient and tell her. Although this disease is difficult to treat and there is no good treatment method yet, it is good enough to use glucocorticoids to reduce the suffering."

"it is good."

"Go."

Meng Liangren stood up and wiped his mouth, "I'll go and take a look."

Luo Hao waved his hand.

"Luo Hao, Old Meng is great!" Chen Yong exclaimed in admiration as he watched Meng Liangren and Zhuang Yan go out.

"How did you learn?"

"My master taught me this, and he taught me by example. We once encountered a similar situation, where the patient's family insisted that they had already done a CT scan yesterday, and that doing it again today was just for the doctor to get commission for writing the prescription."

"and after?"

"It's probably the same steps as what Old Meng taught. By the way, you were the one who came to the medical department that time."

Luo Hao had forgotten whether this happened or not. Luo Hao never took similar trivial matters to heart and just followed the procedure step by step.

"Luo Hao, is this the legendary clinical experience, the secret of shifting the blame?"

"Well, you can call it collective decision-making, which is a manifestation of democratic centralism in the medical industry."

"cut."

"By the way, Chen Yong, who did you learn Taoism from?" Luo Hao asked curiously, which was rare.

Chen Yong hesitated for a moment, then smiled, "Master has already gone to bed. He works at sunrise and rests at sunset. This is the habit of the old man. I will take you to the back mountain and take a look from a distance. The rest will wait until tomorrow."

"!!!"

Chen Yong actually has a teacher?

Luo Hao looked Chen Yong up and down and saw that he was serious this time and was probably not joking.

"I thought you only kept lucky cats in Zhaogong Ancestral Temple."

"Hey, young master Chen, you are famous in the provincial capital, and you are not joking." Chen Yong curled his lips and teased the cat with a slurping sound.

The cats here are all fat and lazy. After eating the corn, they become even lazier and ignore Chen Yong's call.

Chen Yong seemed to have long been accustomed to the rebelliousness of these cats. He was just teasing them and didn't expect any good feedback.

This is different from bamboo, which will lie in front of you with its belly exposed, or force its head into your hands.

……

……

Note: I don't know if what the author mentioned in the group is true or not. I have no contact with Shancheng. If there is any mistake, I would like to apologize to Shancheng first. In short, be careful.

(End of this chapter)