White armor

Chapter 376: Little brat, you still question your teacher

"Student Chen, come in, come in." Luo Hao waved.

"Professor Luo, has my condition changed?" Chen Jiao asked seriously, "If you tell me the truth, I can accept it. I am a medical student. If you don't tell me enough details, I think I will suffer from insomnia."

Luo Hao looked at Chen Jiao seriously. This girl actually started to threaten him.

"Yes, there are indeed changes." Luo Hao told the truth, and went to the computer, opened the enhanced CT image, and began to explain it to Chen Jiao.

A few minutes later, after Luo Hao finished talking about the particularity of metastatic tumors, before Chen Jiao could react, he asked, "The project I applied for the Excellent Young Scholars Award is particle implantation. Do you know why particle implantation has not been developed nationwide?"

Chen Jiao shook her head blankly. The topic changed a little too quickly. Chen Jiao's mind was full of the metastatic tumor in her abdominal cavity, and her train of thought could not keep up.

"Because particles are radioactive, they belong to nuclear medicine. And you know how expensive PET-CT is. Let me ask you, if you were the director of the nuclear medicine department, would you choose to carry out risky particle implantation and develop new technologies at the risk of being complained and having medical disputes, or would you just make money by taking X-rays every day?"

Although Chen Jiao didn't know what Luo Hao meant, she still made a choice.

"Professor Luo, I choose the latter."

"Yes." Luo Hao smiled. "I chose particle implantation as my project, which was considered to be stealing someone else's cake. Now thinking back, Youqing's defense was full of crises. Boss Chai even invited my ancestors from Union Medical College to come out, the ancestors of nuclear medicine in the country."

Luo Hao emphasized the situation at that time, but Chen Jiao was just a medical student. She hadn't even really stepped into society and had no idea what Luo Hao was talking about.

Chen Jiao was still confused.

Luo Hao ignored Chen Jiao and continued, "My ancestors gave me a very difficult problem, which is how to implant particles into a tumor behind the pancreatic head."

As he spoke, Luo Hao stood up and snapped his fingers.

rustling.

Erhei crawled out of the doghouse and came to Luo Hao. As soon as he got to Luo Hao, the storage layer on Erhei's back opened and Luo Hao picked up the marker.

The man and the dog cooperated very well, with almost no pause, and Chen Jiao was stunned.

Luo Hao began to draw anatomical diagrams.

"Here, the needle is inserted through the stomach, through the entire stomach, and then between the duodenal artery and vein."

"Here, this is where your tumor is."

"Swish~~~~" The marker in Luo Hao's hand drew a dark straight line, indicating the path for the needle to be inserted.

I can't touch it.

Chen Jiao was a little confused.

"It's very difficult to puncture the objects here. There are organs all around us. The only thing we can penetrate is the stomach. But even if we penetrate the stomach, we can't implant the particles into the tumor."

"Professor Luo, is it time for a surgical operation?" Chen Jiao asked.

She was a little afraid, but still asked the question bravely.

"Surgery was the previous option. After you are admitted to the hospital and the enhanced CT scan is done, I will contact Director Qian of the Union Hospital. If necessary, I will take you to the capital for surgery."

Chen Jiao stared at Luo Hao with wide eyes.

This sentence obviously has a transition of "although, but".

"Look at it now. It's not necessary for the time being." Luo Hao smiled slightly.

"Now what?"

Luo Hao took out a projector from Erhei's back storage box, connected it to a mobile phone, and played the promotional animation of liquid metal.

"Use liquid metal to send the particles in, and use the properties of liquid metal to send the particles to the location where they cannot turn."

"???"

Chen Jiao looked confused.

Will this work? Really? Professor Luo is not kidding, right?

Suddenly turning? Do you really think this is an American superhero movie? And liquid metal, isn't that something from science fiction movies?

Chen Jiao felt that Luo Hao had gone insane, as he was acting weird and taking out this kind of thing to show her.

"Professor Luo, I can accept it. I really can." Chen Jiao tried to calm herself down and comforted Luo Hao, "I know you worry a lot about my illness, but you also said that curing an illness depends mainly on fate. I have a bad fate..."

Chen Jiao said this, her voice choked with sobs.

Although she said she had accepted this reality, who could be willing to accept it?

21 years old, the age of flowers.

"Do you think I'm kidding you?" Luo Hao looked into Chen Jiao's eyes.

"Professor Luo, I know you care too much..."

"No, no, no." Luo Hao smiled slightly and sat in his most familiar position.

As the rustling sound came, Erhei walked to Luo Hao, stuck close to Luo Hao's legs, and put his head on Luo Hao's legs.

The second black piece had already been polished to a shiny shine by Meng Liangren, and Luo Hao was too embarrassed to tell Lao Meng to stop polishing it.

This is Meng Liangren's only shortcoming. Luo Hao has gradually accepted it and doesn't think much of it. He just thinks that if he gets another mechanical dog in the future, he will leave this Erhei to Lao Meng and get a new one for himself.

Putting his hand on Erhei's head, Luo Hao smiled slightly and said, "Sit down and talk."

Chen Jiao pulled over a chair and sat upright, as if she was attending her last class.

"Ten years ago, when I first went to college, the University of Science and Technology was the only hope for the village. At that time, Japan's robots were world-class. As for the more advanced Boston Dynamics, we couldn't even think about it."

"Look, now. Boston Dynamics has changed its research direction and started studying electrified robots."

"This is Yun Shen Shen's robot dog. Ten years ago, I couldn't even imagine it. As for Ben Zi's robot, can you still hear of any company that is awesome now?"

Erhei seemed to understand Luo Hao's praise for it. It raised its head affectionately and rubbed Luo Hao's hand with the top of its greasy head that was rubbed by Meng Liangren.

Looking at Erhei, who was full of anthropomorphism, Chen Jiao was stunned.

"Ten years ago, when I was just in college, it was an honor to invite world-renowned experts to perform demonstration surgeries. Eight years ago, Director Qian brought his assistants to the World General Surgery Conference to perform demonstration surgeries."

"Five years ago, a steady stream of experts came to PUMC to learn how Director Qian used the da Vinci robot to perform pancreaticoduodenectomy."

"As of now, the consensus in the industry is that the US is the medicine and China is the knife."

"Everything is progressing. I'm not kidding you. What I said is true. Regarding your situation, I have communicated and contacted relevant experts from the University of Science and Technology. They have already run the data and are building relevant models."

"Model? Does this also need modeling?"

Chen Jiao was stunned for a moment.

"Don't worry, the whole operation will be recorded, and you can watch it carefully after the operation. As for the pre-operation..."

Luo Hao pondered for a moment.

"It's okay to use animation to explain, but your surgery needs to be done quickly, so I won't explain it to you in detail."

"Oh." Chen Jiao said "Oh" woodenly.

"You little brat, you even know how to question your teacher." Luo Hao curled his lips.

"..."

Luo Hao smiled and looked towards the office door. "Is that your classmate outside?"

"Yes."

"Are you here to see me? Or are you here to see a doctor?"

The girl with air bangs came in shyly, "Hello, Professor Luo."

"You seem to be acting sneaky. Tell me what's going on." Luo Hao smiled.

"Teacher, I...I...I..." The girl stuttered, glancing at Luo Hao but not daring to meet his gaze.

"Are you afraid that I will ask you questions?" Luo Hao asked.

"what?"

"what!"

The girl uttered two different tones in succession, with some joy in her words. But she immediately glanced at Chen Jiao, and her expression darkened.

"Why are you looking at Chen Jiao? She's fine, I said." Luo Hao said in a firm tone.

Chen Jiao's expression changed, and she was a little surprised.

"Tell me, what's going on with you?"

"Professor Luo, this is what happened. I applied for insurance a few days ago and needed a physical examination. Ketones were found in my urine."

"But my blood sugar was normal. When I checked again later, the ketone bodies were gone."

"I was still worried because there was something abnormal and the insurance company wouldn't approve it, so I took another test and it came back positive."

The girl spoke intermittently about her medical treatment process.

Luo Hao held Erhei's head, looked at the girl with a smile, and listened to her describing her medical history.

The whole process is full of flaws and is not much better than that of ordinary people.

The girl also noticed Luo Hao's expression and knew that the teacher must be finding fault with her in her heart.

"Teacher, you said you wouldn't test me." The girl complained aggrievedly.

"Okay, I won't test you, I'll just tell you directly." Luo Hao smiled warmly, "Have you been losing weight recently?"

"Yeah, when autumn just started, I thought I wouldn't have to wear little skirts anymore, so I ate a lot of delicious food. But then I couldn't fit into a lot of my clothes." The girl said sadly.

"Let me tell you the conclusion first. You are in starvation ketosis due to weight loss. Judging from your physical condition, you don't need treatment. Restore your normal carbohydrate intake after you go back, and check again in 3 days."

Luo Hao's confidence shocked Chen Jiao and her classmates.

Chen Jiao's classmates went to several hospitals in the past few days because of this matter. She was afraid that her teacher would find out that she was a medical student, so she did not dare to come to the affiliated hospitals of the Medical University.

I thought it should be a minor problem, but none of the hospitals gave a diagnosis for this minor problem, and each one sounded more scary than the last.

Things like latent diabetes are enough to scare people to death.

So when she came to visit, she wanted to bite the bullet and let Professor Luo Haoluo take a look.

Professor Luo has a great reputation among students. Not to mention Luo Hao, there are countless girls coveting his assistant alone.

Although she knew that Professor Luo could do it, the girl didn't expect that he would not even look at the test report and directly give the conclusion.

This is too good to be true. I'm probably just trying to please myself.

Chen Jiao was even more shocked.

Professor Luo is not like this usually. Could it be because of that sentence - you little brat, you still dare to question your teacher?
Because of his own doubts, Professor Luo, who was always gentle and cautious, launched a strong counterattack.

Is it really okay for him to do this?

Luo Hao stood up, and Erhei followed behind him with a rustling sound, like a shadow, his head shining like a light bulb.

"Come in, sit down and listen to the class." Luo Hao picked up the marker on Erhei and wiped the blackboard clean.

Chen Jiao and her classmates sat obediently in their chairs, looking at Luo Hao.

What is ketosis and what is ketoacidosis?

Luo Hao's writing appeared on the blackboard.

Ketone bodies are products of incomplete β-oxidation of fatty acids in the human body, including acetoacetic acid, β-hydroxybutyric acid, and acetone.

Among them, acetoacetic acid is a strong organic acid that can react with urine ketone body reagents. β-hydroxybutyric acid is the reduction product of acetoacetic acid and is also a strong organic acid, accounting for 70% of the total ketone bodies.

Acetone is the decarboxylation product of acetoacetic acid. It is the smallest amount and can be excreted from the respiratory tract. It smells like rotten apples.

Luo Hao began to explain the basics, and from time to time a line of writing fell on the blackboard, and the friction between the marker pen and the blackboard made a squeaking sound. When Luo Hao finished speaking, the blackboard was also filled with writing.

It didn't seem like a chance encounter, but rather like something Luo Hao had carefully prepared for.

Luo Hao held the blackboard eraser in his hand and looked at Chen Jiao's classmates with a smile, "Have you remembered everything?"

"Remember it." Chen Jiao's classmate answered subconsciously.

"Okay, I'll test you on this part tomorrow. If you can't answer it, prepare to study for the make-up test."

Chen Jiao's classmates were startled, "Teacher, you said you wouldn't test me."

"That was today. I gave you a private lesson on ketosis. It's fine if you didn't take notes. I thought it was inconvenient for you. But you didn't even take a photo of the blackboard? Then I can only think that you are a genius with a photographic memory."

"..."

"A genius? Are you afraid of exams? I'm afraid you think my exams are not difficult enough and that you can't show your abilities." Luo Hao began to tease the girl.

Chen Jiao's classmates quickly apologized, took out their cell phones to take a few photos, and left behind the blackboard writing.

[2. Classification of acute ketoacidosis in diabetic patients.]

Another line was written on the blackboard.

Luo Hao wrote as he spoke, and when he finished, the blackboard was full.

Chen Jiao was a little surprised.

Only exceptionally good teachers can achieve this, their lectures are concise and to the point, and they write on the blackboard with very few words.

The blackboard in the office is not big, and there is even less content to write on. Besides, my classmate came in unexpectedly and suddenly came to see Professor Luo for medical treatment.

But he seemed to have planned it in advance.

I don’t know how long it took me to memorize the blackboard writing.

Extremely skilled.

【3. Clinical characteristics of various ketoacidosis complicated by diabetes. 】

Watching and listening, Chen Jiao's anxious heart gradually calmed down. She listened quietly, immersed in it.

How great it would be if I could keep listening like this and apply this knowledge in clinical practice many years later.

"Starvation ketosis and starvation ketoacidosis can occur in both diabetic and nondiabetic patients."

When it came to the key points, Luo Hao's voice became a little louder.

Chen Jiao's classmate was holding a mobile phone in his hand and became alert.

"In cases of starvation, severe carbohydrate deficiency, low-calorie diet, pregnancy, excessive drinking, chronic severe liver disease, and severe wasting disease, patients experience liver glycogen depletion due to severe carbohydrate and energy deficiency.

Glycogenolysis is inhibited, gluconeogenesis is inhibited, fat metabolism becomes active, and a large amount of fat is decomposed to produce a large amount of fatty acids to provide energy for various life metabolisms of the body.

However, under starvation conditions, fatty acid β-oxidation is incomplete, and a large number of ketone bodies are often produced. With the accumulation of ketone bodies in the blood, ketosis will occur. "

"Among them, ketosis during pregnancy has a similar cause and is a typical manifestation of starvation ketosis."

"If starvation ketosis is not corrected in time and continues to develop, it will develop into starvation ketoacidosis."

"Are you still eating secretly while trying to lose weight, and as a result, the weight loss effect is not good?"

Luo Hao suddenly asked.

"what?!"

Chen Jiao's classmates were stunned, then lowered their heads in shame and nodded slightly.

"What's that expression on your face?" Luo Hao smiled. "The effect of cutting out carbs and losing weight is indeed very good. When it was popular in the past, many people used this method to lose weight."

"That includes Prince Ma."

"Which Prince Ma?" Chen Jiao's classmate asked.

"Ma Boyong."

"!!!"

"It is said that when Ma Boyong stopped eating carbohydrates, he felt that he became dumber and his memory declined, so in order to write a book, he had to choose another way to lose weight."

"!!!"

"!!!"

"Luckily you couldn't help it. Ketosis is not scary, what's scary is ketoacidosis. Losing weight is actually two different things. Just control your diet and move your legs. If you take medicine, there will be some side effects. Can't you be more diligent and run 10,000 meters every morning?"

"Teacher, I can't even run a thousand meters. I'm asthmatic and gasping for breath."

Luo Hao was also somewhat helpless, losing weight was just about controlling your mouth and moving your legs. What should Chen Jiao's classmates do if they can't control their mouths or move their legs?

"Many so-called effective weight loss drugs are not suitable for consumption. Don't mess around with them. If you really damage your body, you will be the one suffering in the future!" Luo Hao warned.

"Hmm."

"Okay, I've finished what I need to say. Do you have anything else to ask?"

"Is my ketosis caused by starvation? Like a pregnant woman?"

"That's understandable."

"Then I'll go home and have a good meal of rice in the evening! Chen Jiao, I'll pack some delicious food and we'll eat together. What dishes do you want to eat?" Chen Jiao's classmate asked.

Chen Jiao forced a smile, obviously not in a good mood. Even though Luo Hao said all sorts of things, Chen Jiao still had no emotions.

"I'm not hungry."

"Professor Luo said that he has the latest method to solve your problem, but you still don't believe it." Although Chen Jiao's classmate is lazy and greedy, she has high emotional intelligence. She instantly understood what Luo Hao meant and began to comfort Chen Jiao.

Although her life was at stake, Chen Jiao was still in a bad mood, but after her classmates persuaded her for a while, Chen Jiao felt that it made sense.

The urine ketones were sometimes present and sometimes absent, and there were no obvious symptoms. I went to several Class II hospitals but no diagnosis was made.

But Professor Luo gave the diagnosis without even looking at the test results, and it was as if he had prepared for the exam for several days, even his writing on the blackboard was flawless.

I should trust Professor Luo, Chen Jiao thought to herself.

But many things cannot be solved by just talking about it, and Luo Hao did not provide Chen Jiao with more psychological counseling. Luo Hao even thought that sending Chen Yong to tell Chen Jiao's fortune at this time might be more effective.

After sending Chen Jiao away, Luo Hao felt a little tired.

Tired.

If it was an ordinary patient, Luo Hao would not be so worried, but Chen Jiao was slightly different.

"Luo Hao, are you nervous?" Chen Yong came over and asked with a smile.

"How do you know?" Luo Hao did not refute.

"I know you very well." Chen Yong said, "I think what you said makes sense. It's not difficult. It can be considered a new technology, but it is completely within the scope of imagination."

"Harm." Luo Hao smiled and said nothing.

In fact, Luo Hao didn’t know whether it would work.

Moreover, various applications must be made before the operation, especially project approval, otherwise it will be considered as illegal medical practice.

Luo Hao felt a headache about this kind of thing, and even felt that the heat wave mixed with the smell of spices and feces that hit him when he got off the plane in India was not unacceptable.

India is still the best, you can do whatever you want.

One side is mice, mice, mice, primates, and human stages 1-4.

On one side is the human body, human body, human body, human body... until it can be used in clinical practice.

India is advanced, Luo Hao thought to himself.

Although I think so, some work still needs to be done quickly.

Luo Hao contacted his boss via video and explained the situation.

Boss Chai on the other side of the video was stunned.

He is a big shot in general surgery, so of course Boss Chai knows how heavy a pancreatic head tumor is.

Chen Jiao's condition itself is contraindicated for surgery, but I didn't expect Luo Hao to be so capable and want to make some liquid metal.

What the hell is that?
After the video ended, Boss Chai frowned and thought for a long time.

Then he stood up, walked for a long time with his hands behind his back, and finally decided to play tricks on Luo Hao and called a taxi to go to the hospital.

"Boss Chai, you haven't been here much recently." Qin Chen saw Boss Chai and bowed to greet him.

"Well, let's go to the hospital. Director Qin, your hair is getting shinier and shinier." Boss Chai laughed.

"Hey, that's it." Qin Chen put his hands on his slicked-back hair and stroked it vigorously. "Boss Chai, a while ago you went to Gusu to ride a bamboo horse to look for the missing giant panda?"

"Huh? How do you know?" Boss Chai asked with a smile.

how could I know?

Qin Chen looked at Boss Chai and felt powerless.

On the first day Boss Chai came back, he asked Director Qian to print out the photo of himself riding a bamboo stalk across the mountain, and have it framed and hung in the department.

Not to mention doctors and nurses, even patients can see it.

Anyone who sees this will ask who it is, when it was taken, and whether it was photoshopped.

Everyone in the hospital doesn’t know about it.

You old man are just short of going to every department with the photos, Qin Chen complained in his heart.

But no matter how brave Qin Chen was, he didn't dare to argue with Boss Chai. He smoothed his hair back and asked with a smile, "Boss Chai, if you have a chance, take me out to play."

"You? No." Boss Chai put his hands behind his back and slowly walked towards the elevator.

"This year, our annual meeting of endoscopy will be held at Luo Hao's place. Would you like to go with us?"

"Don't go."

Qin Chen was stunned. What happened to Boss Chai?
Normally, I should have taken the initiative to greet him and smiled, so Boss Chai shouldn't have treated me like this.

"Boss Chai, did I make you angry in any way? If you are unhappy, just tell me directly. I will go home and think about it."

"It's all Luo Hao's fault, messing around!" Boss Chai cursed angrily.

"???"

Qin Chen was stunned.

Qin Chen gradually heard about what happened in Shanghai some time ago. Boss Chai brought Luo Hao to perform the surgery that no one dared to do, using an endoscope.

Zheng Siyuan didn't even dare to take action. It was so embarrassing. I really wanted to kick him out of the gastroenterology department.

So embarrassing and disappointing!

But Boss Chai... Luo Hao... Qin Chen's heart moved, and he followed Boss Chai into the elevator.

"Boss Chai, what happened to Luo Hao? I was just about to go find him to talk about the annual meeting at the end of the year."

"Tell me what you are unhappy about, and I will help you teach him a lesson."

"Director Qin, you want to teach Luo Hao a lesson? I'll help you!" Boss Chai glanced at Qin Chen coldly.

The elevator was covered with frost.

(End of this chapter)