White armor

Chapter 54 Diagnostic auxiliary AI makes its debut

Luo Hao fastened his seat belt, turned on the night light, and kicked the accelerator.

"The accelerator pedal of your wretched car is quite loud. It must have burned oil." Chen Yong couldn't help but sarcastically said.

"My car is fine." Luo Hao started, shifted gears, and drove steadily at 60 miles in the night of Donglian City.

"What did you just say about my master?"

"I don't know, I haven't heard anyone say it, I'm just guessing." Luo Hao concentrated on driving and said casually, "When your master first came here, he was young and energetic and offended Director Wen Youren."

"I was left out for a few years. Of course, it wasn't like jumping into a well with Wen Youren's child in his arms. Wen Youren is very stingy, and he might hold a grudge over a trivial matter."

"Master You also figured it out later. If the chief director doesn't perform the operation, he won't have a chance to grow. No matter how many times he sees it, it doesn't matter, you think so."

"Didn't you just say give a gift?" Chen Yong asked.

"This is just giving nothing away. Trying to improve the relationship through filial piety, let me tell you, it is of no use at all."

Chen Yong looked down through the light of the street lamp. This item was listed as the second item by his master, and what he said was very different from what Luo Hao said.

!!!

see the hell!

Chen Yong was confused, why did Luo Hao seem to have seen it with his own eyes? And you can also know the master's mental journey.

"I think when your master gives you a gift, there is a high probability that Director Wen will refuse it righteously and sternly, coupled with sanctimonious criticism.

Because gratitude in kind can build relationships and bring us closer, but it cannot reverse relationships. If you really want to turn over, it depends on the person. "

"My master is very powerful!"

"I think so too, but he was not very lucky before and met Wen Youren. And he made money a few months earlier. If he had stayed until now, he might have a good opportunity."

"Wen Youren is just supporting, not retiring."

When Chen Yong saw Luo Hao's words, he was even more unconvinced. He felt that Luo Hao was too good at pretending, so he couldn't help but retort.

"The department needs to select a new deputy director to preside over the work. In fact, your master is a very good candidate. If he is still in the department now, I think I will push it. At this point, the opinion of the Medical Office is not important, but Director Lin Your opinion and my opinion are very important."

Chen Yong found a speech problem and was about to retort, but when he was about to leave his mouth, he held back his words.

Don't worry, if Luo Hao says something to Dean Li and Secretary Sun now, especially if he recommends personnel arrangements after Wen Youren leaves, those two will give him some face.

After all, Mr. Chai traveled thousands of miles to endorse Luo Hao. If he took advantage of the situation, it wouldn't be too difficult.

And more than that.

Mr. Chai has deep feelings for Luo Hao.

The people who picked him up include city leaders, but not mine bosses. Even Chen Yong, a young man like Chen Yong who doesn't spend his energy on human relations and sophistication, understands the meaning.

Chen Yong carefully looked at the tips and tricks that his master left for him. It said - if there is any flaw or contradiction, he will not give it away.

Luo Hao seems to be right.

"But, I probably won't be able to help, so assuming your master is here, it would be very difficult for him to mention a deputy director in charge of clinical work this time."

"how to say."

Chen Yong seemed to understand something.

"There are not many people who are good enough to preside over clinical work and perform some emergency surgeries, but there are also quite a few. Counting your master, there are at least two people."

"Your master came from a grass-roots background, and his college experience was a little bit poor. There is no path at all.

For example, his competitor is a relative of a big leader, or a descendant of a big boss in the circle..."

Having said this, Luo Hao chuckled.

"You bunch of academics don't have any good stuff." Chen Yong scorned.

“I was admitted to Xiehe Union University’s eight-year bachelor’s, master’s and doctoral program on my own merit, okay!”

This is true.

Thinking of the college entrance examination and the senior year of high school, Chen Yong was a little confused.

He wanted to turn back time and go back to the time when he was still struggling in high school. If possible, I would definitely have a headache and a thorn in my butt, and I would definitely be admitted to the Union Medical College. I would definitely not let Luo Hao be so arrogant!

Perhaps, the college entrance examination is the only opportunity for many people to change their destiny.

Unfortunately, I missed it.

"In this case, your master will be blinded. Even if he performs surgeries better than others, is more considerate than others, and treats patients as if they are family members, it is of no use.

Because the order of guanxi must be - existing relationships cannot compete with existing ones; existing ones cannot compete with those under direct control; those under direct management cannot compete with powerful ones.

Therefore, the economic base still has to make way for the superstructure. "

"Luo Hao, has anyone ever said you are greasy?" Chen Yong suddenly asked.

"No, the elderly all like me and say I am refreshing and sunny." Luo Hao stated a fact.

This is so true that Chen Yong doesn't know how to refute it even if he wants to refute it.

Not to mention how hard it was for the old man who flew over today, Luo Hao seemed to have expected him to come. He prepared the latest Geely fishing car, phased array radar, air cannon, and winter fishing equipment. equipment……

If you have money, you can really do whatever you want. Chen Yong blames all this on having money.

He lowered his head and saw that it was written in the master's bag of tricks - those who have strong ties to block the way will not be sent.

It seems that this is what Luo Hao said.

"One more thing, your master has no way." Luo Hao continued, "It's not impossible to cram into the situation, but it's best not to do it. Blocking the door at home and going to the office to deliver it forcefully are all stupid things."

"What would you do if it were you?" Chen Yong asked.

"My senior brother and I went to a hospital for surgery. After we performed the operation, the patient was sent to the ICU for three days of observation. I followed the patient and wanted to explain a few words to their doctor."

"I happened to see the director of the ICU running out crying. I asked about it and was told that their director was going to the dean's office to cry."

"Ah?!" Chen Yong was most afraid of women crying. He subconsciously judged that Luo Hao said that the ICU director was a female director, and his heart softened in an instant.

"I had a few chats with their doctor on duty, and I roughly knew what was going on. The director's original specialty was not critical care, and because there was no way to appoint a director in the original department, he was transferred here just after the ICU was established to raise the level first. "

"She's very average, and she has a lot of things to do. The doctors, nurses, and head nurse below are all dissatisfied with her. But she has a unique skill. Whenever something happens, she goes to the dean's office to cry."

"Isn't this annoying?" Chen Yong frowned.

"It's really annoying, but the leader of the hospital likes the feeling of being superior. I can't describe it in detail, but it roughly means something like this. So as long as she cries, she will always gain something."

"..." Chen Yong was speechless.

"Your master is too thin-skinned. He will definitely not do such a thing. Let alone go to the dean to cry and complain. Even if he reports on his work as the responsible attending physician, your master will not do it."

Every word Luo Hao said was to the point.

It was as if he was paying attention to Jiang Wenming every day and had been observing him for many years.

"Some things depend on understanding. Apart from making girls happy, you seem to have poor understanding in other aspects. One of the reasons why your master made eighteen twists and turns to ask you to ask me is because he hopes you can be more diplomatic in the future. .”

"What are you talking about? I have a high emotional intelligence." Chen Yong looked at Luo Hao unhappily.

"go home."

While the two were chatting, they had arrived downstairs at Chen Yong's house.

Luo Hao turned his head and looked at Chen Yong, "Let's first mention the amount of surgery. As doctors, food is our original sin. Once you have the ability, you will take care of other things and you will naturally have what you need."

"!!!"

Chen Yong clenched his fists with both hands and was very energetic.

Luo Hao smiled slightly as he watched this guy skipping away with nowhere to vent his energy.

I hope Chen Yong will not let himself down.

The number of seats in the medical team is limited. If Chen Yong is added, it is best for him to complete the corresponding number of surgical cases.

Otherwise it is a waste and a crime.

Sitting alone in the car, Luo Hao did not leave in a hurry, but took out his mobile phone to contact Director Gu.

Luo Hao felt a little embarrassed because he wanted to accompany Boss Chai but didn't even meet Director Gu.

And he also had to ask about the surgery, otherwise he would go to the ICU to see the patient Luo Hao and he wouldn't know what to see.

Director Gu had already boarded the plane and wanted to turn off his cell phone. After a few hurried conversations, Luo Hao was relieved to know that the operation was successful and the patient should be fine.

He sighed.

It's definitely a good thing that the patient is alive. It's not in vain to worry about it and donate 1200ml of blood.

There was a slight flicker of light in the upper right corner of his field of vision, but Luo Hao had never noticed it before.

When he was free at this time, Luo Hao took a look and found that the diagnostic auxiliary AI fragments had been collected at some point, and the system prompted to synthesize them.

Done? !

Luo Hao was surprised.

Looking through the records, Luo Hao realized that the moment Director Gu completed the elephant trunk surgery, the system rewarded a large amount of experience points and diagnostic aid AI fragments.

I accompanied Boss Chai fishing and making skewers, but I didn't notice the system prompts.

Luo Hao was immediately overjoyed.

Good things come to good people. At that time, the system did not remind me of the benefits of this patient's treatment, but he even donated blood and found the top surgeons in the country to perform the surgery. By a strange combination of circumstances, he completed the hidden mission.

What's more, Director Gu didn't just come by himself, he brought an entire team with him.

This team represents the top level of domestic cardiothoracic surgery surgery as well as postoperative care and treatment.

Therefore, the system also gave a very high evaluation, so that it can synthesize auxiliary diagnosis AI.

An unexpected surprise, but also reasonable.

Luo Hao didn't hesitate and clicked to combine.

All the hard-earned fragments turned into a white light and dissipated into the void.

Luo Hao only felt a warm current flowing through his limbs, but he couldn't find the diagnostic panel.

Luo Hao didn't pay attention to the weird things. The system was fairly reliable and he would probably have prompted him when he met the patient.

After the entertainment came to an end, Luo Hao felt a little tired, but instead of going home to rest, he returned to the hospital and went directly to the ICU.

When Luo Hao came to the ICU, he saw a female doctor wearing a dark blue isolation gown and a flower hat sitting in front of the center console, her eyes fixed on the screen, meticulous.

She is about 35 years old and looks smart and capable.

"Sister Zou!" Luo Hao greeted and walked over quickly.

The female doctor followed the voice and looked sideways, smiling slightly, "Dr. Luo, you are coming here at a high speed, but it is a little too far to welcome you. It is really not easy to meet you."

Luo Hao laughed twice.

"Director Gu left me to stay and take care of the patient for two days." Dr. Zou reached out and shook Luo Hao's hand, "How many years have we not seen each other?"

"Three years and five months." Luo Hao said with certainty, "At that time, the director and I went to attend a consultation, and we two sisters met once."

"It's rare that you have the heart to remember it so clearly."

"Sister Zou reported the medical history, which touched me very much." Luo Haoping recalled it plainly, but every word made Dr. Zou particularly comfortable.

Dr. Zou's face was originally as serious as ice, but it gradually melted as Luo Hao recalled it.

"Sister Zou, how is the patient?"

"It's okay." Dr. Zou said with a smile, "I was originally scheduled to stay for 3 days, but depending on the situation, I can still have one day. You can take me to play with you then." "Okay, if it snows, I will drive you to the snow." Township. If it doesn’t snow, let’s go ride a sledge on the river.”

"Sledge?" Dr. Zou asked.

Luo Hao immediately drew pictures and explained to Dr. Zou.

The phone rang, it was Dr. Zou’s. She took out her cell phone and said apologetically, "I'll answer your home phone. Dr. Luo, please wait a moment."

"You are busy with your work."

Luo Hao began to look through the electronic medical records.

The capable critical care personnel that Director Gu brought from 912 are of outstanding quality. Although he is a guest, every record is carefully detailed and is a standard Class A medical record template.

What Luo Haogang said was definitely not a lie. It is precisely because of his sincerity that he makes people like him.

No one is a fool, and clinical front-line staff are even less stupid and shrewd. It’s just that they have a more dedicated personality.

Luo Hao looked at the operation records first, and then read them in chronological order.

There is indeed no problem. The patient recovers very quickly. It is estimated that he can resume spontaneous breathing in 36-48 hours. If his condition is stable, he can be weaned within 12 hours.

After being removed from the ventilator, the patient can be said to be half recovered, and treatment is seeing hope.

Dr. Zou didn't come back for a long time. Luo Hao glanced at the medical records and then looked at the patient's drainage volume.

The drainage fluid is light red and has only been less than 300ml since the operation. The operation was indeed well done.

Director Gu is indeed one of the top three cardiothoracic surgeons in the country.

When Luo Hao squatted on the ground and looked at the drainage bottle, Dr. Zou came back.

"Sister Zou, surgery..."

Luo Hao said half a sentence and stopped abruptly.

Dr. Zou's eyes were red, as if he had just cried.

Uh, what's the matter?

Divorce rates are particularly high among doctors and nurses in intensive care units because they simply don’t have time to take care of their families.

This thought came to Luo Hao's mind for the first time.

"Sister Zou, what's wrong?"

"It's okay." Dr. Zou choked, "The patient's condition is stable. The last time..."

She began to "report" the latest test results.

All the data is clear to the mind and can be recited directly without any mental confusion. But while talking, Dr. Zou shed tears.

"Sister Zou, sit down." Luo Hao quickly pulled Dr. Zou to sit down, "Did something happen at home?"

Dr. Zou wiped away his tears, stayed for a minute, and then said softly, "My grandfather has terminal lung cancer."

! ! ! !

Luo Hao was stunned.

Judging from Dr. Zou's appearance, it was probably an unexpected incident, not something he had expected.

If he had known that there was a relative in her family who was suffering from cancer and could die at any time, Director Gu would not have brought her here and left her to see the patients.

But cancer is late...

Luo Hao also knows that some cancers are found at an advanced stage. This is fate and there is nothing we can do about it.

"There are no signs at all, it shouldn't be." Dr. Zou whispered with red eyes.

She seemed to be chatting with Luo Hao, or talking to herself.

Luo Hao listened quietly.

It's useless to say anything at this time, just be a good listener.

"He has had some cough lately, but it's not serious. Everyone suffers from chronic bronchitis, especially in the winter."

"Today is a normal physical examination. I made arrangements before coming here with Director Gu. Who would have thought that I would find out that it was cancer at a late stage. I only checked it half a year ago and there was nothing wrong with it."

Dr. Zou was blaming herself, and she was blaming herself, with a look of remorse.

The diagnosis of cancer, especially the determination of treatment options, is a relatively long process.

In addition, there were no signs or news at all before, and now it is suddenly said that lung cancer is in the late stage, which should not be the final diagnosis.

Luo Hao was a little strange, but then he thought about it. Dr. Zou was the critical care doctor of 912. Her grandfather must go to the 912 clinic for physical examinations twice a year.

video material……

"Sister Zou, can I watch a movie?" Luo Hao asked.

Although he was asking, his tone was firm, just like a superior doctor asking a subordinate doctor for the patient's imaging data.

Dr. Zou was stunned for a moment, took out his mobile phone, opened the cloud and handed it to Luo Hao.

Ordinary CT can see a huge space-occupying lesion at the hilum of the right lung, with space-occupying scattered in many places in both lungs.

But this is only the most cursory examination.

In just one day, almost all relevant follow-up examinations were completed, including bone scan and bronchoscopy.

The bone scan showed multiple suspected bone metastases in the sternum, ribs, and lumbar spine. Under the bronchoscope, it was clearly seen that cauliflower-like new tissue in the trachea had blocked two-thirds of the right hilum.

Luo Hao's hands felt a little cold while watching the film.

Dr. Zou’s grandfather had a very typical case of late-stage lung cancer complicated by systemic metastasis to multiple organs, and there were almost no surprises.

After reading it, just when Luo Hao was about to return the phone to Dr. Zou, a diagnosis suddenly appeared on the system panel.

[Preliminary diagnosis: lung space-occupying lesions. 】

Gan!

Luo Hao cursed in his heart, these days even the system has learned to shirk responsibility.

Is it difficult to diagnose lung cancer?

It must be said vaguely that it is a space-occupying lesion.

The fragments that have been accumulated for so long are finally combined into a waste?

Luo Hao was thinking when he suddenly saw the drop-down bar.

With a thought, he pulled the drop-down bar, and the following content appeared in front of Luo Hao's eyes.

[Differential diagnosis: 1. Talaromyces marneffei infection; 2. Adult immunodeficiency disease mediated by anti-interferon-γ autoantibodies, 3...]

Luo Hao fell into deep thought.

This differential diagnosis has never been done before.

Space-occupying lesions are not cancer, but a general term.

It's just that cancer is the most common clinically, so when Luo Hao saw the words "space-occupying lesions", the first thing he thought of was cancer.

The diagnosis of Talaromyces marneffei is a bit interesting.

This type of bacteria is mainly distributed in countries such as Myanmar, Shupu, southern China, Indonesia, Laos, Malaysia, Thailand and Vietnam.

It is an intracellular parasitic bacterium that mainly invades the monocyte-macrophage system. It invades the body when immunity is low and multiplies in the lungs, liver, intestinal lymphoid tissue, lymph nodes and spleen, causing fatal systemic infection.

Clinical manifestations include cough, fever, chest pain, accompanied by enlarged lymph nodes, liver and spleen, etc.

The main host is the bamboo rat.

Generally speaking, people who have eaten bamboo rats are very likely to get this disease.

"Sister Zou, does your grandfather eat bamboo rats?" Luo Hao asked.

Dr. Zou was stunned for a moment and forgot to wipe his tears. Two lines of tears flowed down the corners of his eyes.

"Bamboo rat? Do you suspect it's Talaromyces marneffei?!"

Dr. Zou hesitated for a moment and then became happy, and there was a hint of joy in her words.

She is a critical care doctor, and she is in a different profession. She did not expect that Talaromyces marneffei was also normal. Luo Hao did not find it strange.

If I hadn't been prompted by the system, I wouldn't have thought of this.

"Does the old man eat bamboo rats?"

"He has eaten it. He is from the south. He often ate it when he was a child, and now he eats it occasionally." Dr. Zou immediately took back his mobile phone and started making calls.

Luo Hao looked deeply at the diagnostic assistant AI in the system panel. This thing seemed to be of some use.

Dr. Zou contacted me for a long time and came back with a gloomy expression.

"Sister Zou, how are you?"

"The deputy director of the Respiratory Department performed a bronchoscopy and said it didn't look like a malignant tumor under the microscope. The biopsy specimen was sent to the pathology department."

"The pathology department has prepared specimens. If you want to see them, you have to look at them tomorrow."

"Dr. Luo, do you think it's Talaromyces marneffei infection?"

"The possibility is very high." Luo Hao said seriously, "At least it cannot be directly considered to be late stage lung cancer. Sister Zou, your mood fluctuates too much. Go and rest. I will watch it for you tonight."

This is a bit strange to say.

The patient was from the mine manager, and Dr. Zou was a helper, so why did he look after her himself? Luo Hao just wanted to correct her, and Dr. Zou smiled.

"No, I'm relieved." Dr. Zou said, "I suddenly knew something was wrong with grandpa, and I was completely confused. I just reviewed the medical history and felt that the possibility of late-stage lung cancer is not high."

Dr. Zou began to express his opinions with his fingers, just like giving a report during a consultation with the whole hospital.

She started with the slow progression of cancer in the elderly and worked her way up to bamboo rats. The more he spoke, the more confident he became, and his words gradually became firmer.

After more than ten minutes, Dr. Zou calmed down.

"Thank you, Dr. Luo." Dr. Zou became a little more energetic after explaining her reasons. She thanked her, "Go and rest. I heard that you donated 1200ml of blood to the patient. Panda blood is really not easy."

"I'm here, don't worry." Dr. Zou said firmly, "The patient will definitely be offline within 3 days."

Seeing that Dr. Zou was getting better, Luo Hao chatted with her for a while and then left.

Without pathological results, everything is in vain.

He just asked Dr. Zou to test the fungal β-D-glucan on the old man to determine whether it was caused by fungal infection.

……

Director Gu learned about this as soon as he got off the plane.

He arranged to stay in Donglian City, and Director Gu is responsible for anything that happens at home.

This is the most basic.

If he is lazy and irresponsible, no one will be willing to work with him in the future.

Even if this matter has nothing to do with him, Director Gu still has to take care of it.

Director Gu went home and rested for the night. He came to the hospital early the next morning and ran directly to the pathology department to watch the director of the pathology department look at the specimens under the microscope.

"Director Gu, it looks like nothing is wrong under the mirror."

The director of the pathology department looked at it for ten minutes, then raised his head, took off his spectacles and said affirmatively.

"Is everything okay?" Director Gu was stunned, "I saw the film. It's a typical manifestation of late-stage lung cancer, and there is no chance of surgery."

(End of this chapter)