White armor

Chapter 6 Dilemma
"Director, the working team from the Medical Office is staying in our department, and I always feel uncomfortable."

Before the morning shift, an obstetrician and gynecologist chatted and complained with Director Sun.

Director Sun also felt very uncomfortable.

When doing clinical work, I hate having people from the government telling me what to do.Even though Luo Hao is sunny and amiable, he is from the Medical Department after all. Even if he always has a smile on his face, he still has evil intentions in the eyes of Director Sun.

"Director, when will they leave?"

"You can't be clear about it. If you encounter something difficult in the evening, call them directly. After a few more troubles, they will get tired and tired. It's a good idea to leave by yourself."

Director Sun had an idea, and after speaking in a low voice, he gave all the doctors a "you all understand" look.

Everyone understands.

The office door was pushed open and Luo Hao walked in.

It was like a ray of sunlight shining in. Director Sun's eyes were a little painful when he was stabbed, and he couldn't help but squint.

When Luo Hao arrived, the conversation just stopped abruptly and he began to take over shifts and make rounds to see patients.

A busy day begins.

……

Clinicians have mixed feelings about medical offices.

In the eyes of many doctors, the Medical Office is the "dog leg" of the hospital leadership, or to put it mildly, it is the Jin Yiwei.

Medical disputes, complaints, and medical record reviews are all under the jurisdiction of the Medical Department. In the past year, even the most difficult medical insurance issues have been assigned to the Medical Department.

Clinicians do not want to offend the medical office, but they also find them annoying.

Just like when an obstetrician and gynecologist sees Luo Hao, he has a strong emotion of how a beautiful woman can be a thief.

That night.

Luo Hao did not leave immediately after get off work, but stayed to write the medical records of patients with ovarian cysts.

"Leader, there is a patient who I think has a problem. Please take a look." The doctor on duty at the obstetrics and gynecology department said jokingly to Luo Hao.

"Don't be a leader, I am also a donkey. By the way, what kind of patient?" Luo Hao asked.

"Premature."

"If you give birth prematurely, you will need a neonatologist to come over. Sorry, aren't you? I'll call the patient." Luo Hao took a look at the patient and knew the secret, so he immediately called the neonatology department.

"Hello, Luo Hao from the medical office. I'm in the obstetrics and gynecology department. I'm looking for an emergency consultation with the doctor on duty."

"I mean, are you going to give birth prematurely? I'll be there soon."

The newborn's doctor agreed simply and hung up the phone.

The obstetrician and gynecologist had a strange expression on his face, and Luo Hao looked at it with doubts in his heart.

"Get ready to deliver the baby." The obstetrician-gynecologist called the midwife and went to the delivery room together.

Entering the delivery room, Luo Hao took a look at the medical records and was not ready to change clothes. He stood in the corridor of the delivery room with his hands behind his back and a serious expression.

"Doctor Luo." The obstetrician-gynecologist had a strange expression and hesitated to speak.

"What's wrong?" Luo Hao asked.

"There's something wrong with pregnant women, don't you think?"

"I can feel it." Luo Hao discussed the condition seriously, "35 weeks pregnant, color ultrasound showed that the baby is a bit big."

"..." The obstetrician and gynecologist looked at Luo Hao with a half-smile.

"The fetus has a long head and thighs. Because we cannot rely on the biparietal diameter and femur length to judge the gestational age and maturity in the later stages, I can't say much, but don't you think..."

"No matter how many there are, I know there may be problems with pregnant women, but we have to avoid some unexpected situations."

Luo Hao looked at the obstetrician and gynecologist with a serious expression, "Explain it to the midwife and neonatologist. Don't say it's useless."

The obstetrician and gynecologist squinted his eyes, raised his eyebrows, turned around, changed clothes, and entered the delivery room to deliver the baby.

It is very common in clinical practice for patients to deliberately conceal their medical history and past history. It is not uncommon for obstetrics and gynecology to conceal the time of their last menstrual period.

The pregnant woman said she was 35 weeks, but the B-ultrasound showed she was full term.

But this has nothing to do with hospitals and doctors, cough cough~
The obstetrician and gynecologist also wanted to see Luo Hao's nervous and anxious look. Unexpectedly, Luo Hao discovered the truth of the matter early on. He was even more sure than himself that the child was not premature.

Luo Hao looked at the diagnostic assistant AI, but there was no entry indicating premature birth.

Compared with the B-ultrasound in the medical record, Luo Hao felt that nothing would happen.

He was worried that the obstetricians and gynecologists, midwives, and neonatologists would gossip, which would eventually lead to quarrels between the mother and her family members, so he simply stood in the corridor and whispered to each other.

The pregnant woman was multiparous, and half an hour later Luo Hao heard cries.

The cry is loud and the child is healthy.

After a while, the midwife came out holding the baby.

Luo Hao glanced at it, full month.

He scratched his head and forgot about it as an incident.

The obstetrician and gynecologist came out after changing his clothes, took off his mask and smiled at Luo Hao.

"Ronald, don't worry, we have seen this kind of thing too many times, and we will definitely not talk too much."

Luo Hao nodded and smiled.

"I didn't expect you to know so much at such a young age. I thought you would be very worried." The obstetrician-gynecologist smiled.

"When I was in school, I was willing to go to the emergency room because my teachers would chat with me."

"Oh? Is there anything else interesting?"

"The teacher said that the emergency department with the highest divorce rate...guess what it is." Luo Hao asked with a smile.

Divorce rate and emergency department are two words that are completely unrelated to each other.

The obstetrician and gynecologist was stunned for a moment, thought for a few seconds and then tentatively asked, "Dermatology?"

"It's a serious disease. The teacher said that patients with urinary tract stones who come here at three or four in the morning when the temperature drops first in autumn have the highest divorce rate."

!!!

The obstetrician and gynecologist was stunned.

She looked at Luo Hao and couldn't figure out why this guy knew more than she did.

"I've seen it twice. The patient's face was as painful as white paper, and his whole body was sweating coldly. When the person who came with him heard that it was a stone, he sat on a chair and played games or something. He didn't care much anyway."

"The teacher said that as long as the stones are cured, there is a certain probability of divorce. The probability is very high, even higher than malignant tumors."

The obstetrician and gynecologist looked at Luo Hao's sunny face and did not expect that this young man would talk about clinical gossip without any hint of youthfulness.

"Don't worry." The obstetrician-gynecologist felt embarrassed and started to make up for it. "It'll be fine. The main reason is that I always call newborns, and they don't even look at me right. I can only trouble you. Xiao Luo, please take a rest." Yes, I will write the medical records."

The two of them walked out of the delivery room, and the man who was so muscular and round-waisted that he beat someone up an hour ago covered his face with joy and cried happily.

Luo Hao felt extremely ridiculous.

But a doctor is a doctor and can only be a doctor. He shut his mouth and walked past the patient's family.

Back in the department, the doctor on duty in the obstetrics and gynecology department found a common topic and chatted with Luo Hao first.

As for the little thoughts behind Director Sun's words, the obstetrician and gynecologist didn't pay attention.

It doesn't matter who wants to be a gunman.

Besides, Luo Hao is a nice person, so it's okay to joke around. If he really wants to stumble, the obstetrician and gynecologist won't be able to stop him.

While they were chatting, the sound of a flat car sounded.Along with the sound of the train, there was also the roar of the emergency department examiner.

"You go ahead and do your work first. I'll see the emergency patients."

"Ding dong~"

The system task prompt sounded in my ears.

Luo Hao perked up and looked at the system panel in the upper right corner of his field of vision.

[Emergency mission: Dilemma.

Mission content: Treat a patient with severe bleeding during scar pregnancy

Mission time: 5 hours

Task reward: experience value: 10000 points, 3 hours of system surgery learning time. 】

Task!

Reward system surgery learning time! !
Luo Hao suddenly became happy.

He is no longer satisfied with unlimited general teachers. He can learn and understand more during the systematic surgery learning time. Intuitively speaking, the experience value is at least 3-5 times that of studying alone.

Scar pregnancy…

After a brief period of excitement, Luo Hao's eyes fell on the task content on the system panel.

Scar pregnancy refers to a woman who has had a history of cesarean section. When she becomes pregnant again, the gestational sac implants in the original scar of the uterus, which often leads to heavy vaginal bleeding and late uterine rupture. It is an abnormal pregnancy that is difficult to handle.

This type of disease is extremely dangerous. In the field of obstetricians and gynecologists, the only thing that can compare is ectopic pregnancy.

As for the treatment...

In the past, many patients required hysterectomy after conservative treatment failed.

But now Luo Hao thought, and the interventional surgery skill tree was expanded. The simplest interventional catheter embolization surgery was a level four surgery, which was just within Luo Hao's ability.

Try?

Try it!

It is not possible to embolize the communicating arteries of twins in utero by oneself, but it is not possible to embolize the uterine arteries. This operation is not difficult and can be successfully completed by level 3 surgery.

Luo Hao got up and walked out of the doctor's office.

The mine manager once had an interventional department and purchased expensive DSA machines, with more than a thousand surgeries performed every year.

Even at its peak, difficult techniques such as tips were carried out, and dozens of procedures were performed every year.

But that's all in the past.

With changes in centralized mining policies, reductions in group investment, and increased efforts to poach people from the south, the intervention department established by the mine boss over more than ten years disappeared in less than five years.

Now the interventional department has shrunk and shrunk, and even the most basic surgical capabilities cannot be performed.

It was really an emergency mission, and Luo Hao was a little helpless.

A pungent smell of blood hit his face.

A middle-aged woman was lying on the flat car, her pants were soaked, and dark red blood dripped down the flat car onto the marble floor.

The bright red blood had already stunned people, and the patient's family members seemed to have their mouths covered, unable to speak a word.

They followed the flat car stupidly, feeling helpless.

"Get ready for rescue!" The obstetrician-gynecologist shouted loudly as his adrenaline surged due to the smell of blood.

The young nurse was also a little nervous, but she still knew the basic rescue procedures - measure blood pressure and then leave an intravenous channel.

Luo Hao helped install the ECG monitor on the patient. The patient's blood pressure was extremely low, 65/32 mm Hg.

To diagnose hemorrhagic shock, you must seize the time to stop the bleeding.

The obstetrician and gynecologist took the time to call Director Sun, while Luo Hao went to the fire escape to call his uncle Lin Yuming.

"Uncle, it's me."

"Why are you calling me so late?"

Lin Yuming didn't wake up angry. The more late at night the phone call was, the more dangerous it was, as every veteran clinician knew.

Luo Hao briefly stated the patient's condition.

"Uncle, I want to perform interventional DSA surgery on the patient."

Unexpectedly, Lin Yuming didn't even want to deny it directly.

"no!"

"Uncle, the patient..."

"Call Director Lin!"

"..." Luo Hao choked, "Director Lin, the patient's condition requires it."

"What a bullshit condition. Without you performing interventional surgery, all those patients with scar pregnancy would have died? Let me tell you, after Director Qian of the Interventional Department went to the south, our mine has not had a single patient with scar pregnancy die. Do you think you are? Who!" Lin Yuming yelled.

"Uncle, calm down and listen to me first." "Listen to what you're talking about! Are you going to do a surgical operation, and the X-rays are not enough for you? You have to take threads, that's radiation!!"

"Listen to me, uncle, your ideas are too old-fashioned." Luo Hao knew that his gentle words would not work, so he retorted Lin Yuming's words straightforwardly.

"The Interventional Department of Xiehe Hospital rarely performs traditional interventional surgeries, and mainly uses radiofrequency ablation under CT machines."

"Not eating the thread, not eating at all."

"And now many hospitals are carrying out seed implantation surgeries, which is not a waste of time."

There was silence on the phone.

Luo Hao felt a glimmer of hope in his heart.

"Before you have a child, just stay away from it for half a year. Uncle, I promise you that as soon as I have a girlfriend, I will not be exposed to these things. But the issue at hand is whether the patient can save his own organs. If he can't do it or not, he can't do it. Of course it can be cut off directly, but now we know how to do it and can do it."

"..."

There was deathly silence on the other side of the phone, and Lin Yuming didn't say a word.

"Uncle, the machines in our DSA room can still be used."

"wait for me."

Ten seconds later, Lin Yuming said something in a muffled voice and hung up the phone.

There are many types of interventional surgeries. Interventional surgeries are done under B-ultrasound machines, but traditional access surgeries refer to surgeries done under X-rays with DSA machines.

For example, coronary intervention surgery in the circulatory department.

Eating threads will affect the health of the operator, and the thyroid gland, eyes and immunity will be affected.

The most important thing is that eating thread may lead to congenital deformities in the child when the child is born.

The uncle's concerns were justified. Luo Hao did not think that the uncle's fierce reaction was making a mountain out of a molehill.

This is my family member. If someone else took the initiative to volunteer, I would probably fill the entire mine manager's cafeteria with the cakes painted by my uncle Lin Yuming.

What is the director of the interventional department, what is the preferential medical insurance, what is the key department, what is the key support in the hospital...

Just give it to me as long as I can think of it.

But the problem is that no one really does it.

If you don't do it, others will do it. This saying does not apply in interventional departments.

While Luo Hao was thinking about how to persuade Lin Yuming, he went back to help with the rescue.

The patient's condition was not good, he was in severe hemorrhagic shock, his expression was indifferent, and his whole body was clammy.

Ten minutes later, Lin Yuming hurried over.

He took a gloomy look at the patient's condition first, then grabbed Luo Hao's collar and led Luo Hao out of the emergency room under the surprised eyes of others.

"I gave you a face, didn't I!"

"The wings are stiff, aren't they?"

"Xiehe Xiehe, you talk about Xiehe every day, do you know Xiehe, does Xiehe know you! Who do you think you are!! Why don't you stay in Xiehe if you have the ability!!!"

Although Lin Yuming tried to keep his voice down, his anger burst out.

He came to the hospital in the middle of the night not to discuss anything with Luo Hao, but to scold Luo Hao face to face and keep an eye on his careless nephew to prevent him from going up to the interventional catheterization room for surgery.

"Uncle..."

"Who the hell is your uncle!" Lin Yuming stretched out his hand, pointed at Luo Hao's nose and cursed, "You can't intervene before you have a child. Why are you bullying me? I'm a professional doctor in animal husbandry imaging. , I know at least [-]% of the people involved in intervention across the country!"

"Uncle, calm down." Luo Hao kept bowing.

Lin Yuming raised his hand and slapped Luo Hao on the head, "Is there something wrong with your brain? B-ultrasound surgery is not enough for you to last a lifetime? Lao Liu said that your B-ultrasound level is outstanding among your peers. , even he can’t be said to be much better than you.”

"Uncle, that's a patient. If we don't do interventional embolization, we have to cut the uterus."

"..." Lin Yuming was choked and couldn't say a word.

Luo Hao dared to stand on his moral prostate and suck himself!
Lin Yuming's eyes were as wide as copper bells, and Luo Hao even saw a hint of evil.

Luo Hao knew clearly how much his maternal uncle doted on him. This was probably the first time Lin Yuming hit him since he was a child.

"Uncle, listen to me, listen to me." Luo Hao explained with a pitiful look, "I promise, just this once!"

"For once, you're such a liar!"

Lin Yuming raised his hand again and slapped Luo Hao on the neck.

"Be careful of carotid artery intimal avulsion. You hit me on the back of the head just now. I'm a little dizzy now."

Lin Yuming's eyes widened when he heard what Luo Hao said, but his raised hand did not fall down.

Luo Hao had a sneer on his face, "Uncle, really, it's just this once. I'm not sick. The surgery in the lead suit is disgusting. It's like a puppet. I don't want to. It's just too much, too much."

"It's weird if it's true."

"Really, really. Uncle, let me tell you, I heard the teacher's judgment on future technologies, and one of them is puncture technology." Luo Hao said nonsense seriously.

"Huh?" Lin Yuming was startled, "Puncture is easy."

"It's not the kind of chest puncture or abdominal puncture. In the future, if nanorobots are used to treat cancer, they will need to be punctured and the robot will be implanted at the location of the lesion."

"Aren't they all taken orally?" Lin Yuming was dubious.

"That is a product of countless generations. It is similar to science fiction, deceptive, or a vision. What you can see now is puncture, leaving robots or drugs or radioactive substances used to treat diseases in the lesions."

When he heard the word "radiation", Lin Yuming's expression became ferocious.

"Uncle, let me find particle implantation technology for you." Luo Hao had already taken out his mobile phone, opened a website full of English, and started looking for relevant literature on particle implantation.

This technology has appeared in the technology tree of interventional puncture. Luo Hao cannot do it now, but this does not affect Luo Hao's prior knowledge.

Luo Hao tried his best to divert Lin Yuming's train of thought, but who was Lin Yuming? Luo Hao's tricks didn't work at all.

"I'm not looking, what are you going to say?" Lin Yuming asked with a cold face.

"Uncle..." Luo Hao swallowed, and seeing Lin Yuming's stern expression, he began to delete what he wanted to say.

He knew that if he couldn't get his uncle to agree in three sentences, today's surgery would probably be in vain.

"I will say three things. First, we are doctors. This is not just a case of catching a patient, and I can still do it. If I do the operation, the patient's uterus can be saved; if I don't do it, the person will not die, but it will have to be removed. The uterus. After all, it’s an organ.”

Luo Hao said while checking Lin Yuming's expression.

"second."

While Lin Yuming was silent, Luo Hao immediately came to the second point.

"Second, I guarantee that the operation time... the thread-taking time will be less than 20 minutes!"

"Huh?!" Lin Yuming was stunned.

Although he does not know how to perform interventional surgery, he is a graduate of the imaging major after all, and he has seen surgeries performed by the mine's interventional surgeon before.

Scar pregnancy requires embolization of the uterine artery or internal iliac artery.

In the past, the director of the Interventional Department of the Mine General Hospital performed similar surgeries. As long as the patient's condition was stable, he would carefully embolize the uterine artery.

The diameter of the uterine artery is about 2mm, which is relatively thin and requires a lot of effort.

If the level is insufficient, the internal iliac artery can be embolized.The diameter of the internal iliac artery is 6-7mm, which is equivalent to eight rows of channels for interventionalists, which is very spacious.

In less than 20 minutes of operation time, Luo Hao should have embolized the internal iliac artery.

Guess this bastard still has some tricks up his sleeve!

Lin Yuming snorted coldly.

Seeing that his uncle didn't say much, Luo Hao saw the turning point and immediately continued, "Third, this is my career plan, otherwise why would I need so many scopes of practice."

"Career plan? Tell me."

"Uncle, the patient is in hemorrhagic shock and is waiting for surgery." Luo Hao reminded.

Lin Yuming thought for a while and stretched out his finger.

"First, the actual operation time cannot exceed 20... no, 10 minutes. If it takes more than 10 minutes to tether the internal iliac artery, it proves that you do not have this talent."

"Okay, okay." Luo Hao nodded like a chicken pecking at rice.

"Second, this is the last time. If you have to do it, find a wife and have a baby as soon as possible. Once you have a baby, you can do whatever you want. I'm an old fool even if I fart. There are too many things to do."

Luo Hao continued to nod obediently.

"Third, can you really do it?" Lin Yuming asked doubtfully.

Before, it was all about caring for the nephew as an uncle, but Lin Yuming asked the last sentence because of his position as the director of the medical department.

Luo Hao grinned, the sun was shining brightly.

The task is only one aspect. Interventional surgery can avoid removing organs. This is what Luo Hao wants to do most.

"Yes!" Luo Hao answered simply.

Lin Yuming looked Luo Hao up and down, his brows furrowed, as if a carving knife had carved the word "Chuan" between his eyebrows.

"I contacted the DSA department and found that the interventional department was no longer available, but the vascular department has been performing surgeries. Damn, I've been looking for an interventionalist for three years, but I didn't expect..." Lin Yuming's voice became weaker and weaker.

"Uncle, tell me something else. Do you know that plus-size women undergo partial gastrectomy surgery to lose weight?"

Lin Yuming was confused and nodded.

"Interventional surgery, embolization of the left gastric artery, can achieve the same effect without causing any damage."

"Minimally invasive surgery is the direction of the future. As long as there are no unexpected factors such as war, all existing surgeries will be eliminated by the time I turn [-]."

"!!!" Lin Yuming held his cell phone, looked at his high-spirited nephew, and said scornfully, "Only you can."

"Back then, cardiothoracic surgery was said to be the best field of surgery, but look at what it's like now due to interventional surgery."

Lin Yuming is an experienced clinician, so of course he knows about this.

In the past, there were two general thoracic departments and one cardiothoracic department in the Department of Thoracic Surgery at the General Mine.But with the rise of interventional surgery, the mind has gone straight to zero.

It seems a little... wrong!
Lin Yuming immediately realized that his thinking had been deceived by Luo Hao. This boy was giving him psychological hints!
MD!Lin Yuming cursed.

"I don't care. Anyway, from now on you will either find something else, or you will get married and have a child."

"Okay, I promise to complete the task!" Luo Hao responded to Lin Yuming without hesitation.

Seeing his uncle calling someone for emergency surgery, the smile on Luo Hao's face became brighter.

After a few minutes, Lin Yuming arranged everything, glared at Luo Hao and walked out of the fire escape.

When I arrived at the emergency room, the smell of blood hit my face.

Lin Yuming had long been accustomed to it. He strode into the emergency room and asked in a deep voice, "How is it?"

"Chief Lin, the bleeding has been stopped temporarily. The blood transfusion department is matching blood, and it is estimated that the transfusion will be available within 10 minutes." The obstetrician-gynecologist replied, "I have called Director Sun and will wait until the patient's condition gets better. You can go on stage.”

"Notify Director Sun that the patient will undergo interventional embolization surgery."

!!!

The obstetrician-gynecologist's expression was extremely wonderful.

She was slightly startled, a smile of relief appeared on her face, and her whole body relaxed, "Chu Lin, is Director Qian back from the south? Or did you find intervention talents somewhere? Awesome! You don't know how much we are looking forward to us There is always an interventional doctor at the mine who can perform embolization surgery.”

Lin Yuming ignored the obstetrician and gynecologist, and turned around and said to Luo Hao, "You will be asked to do all the interventional surgeries before the operation, and I will watch."

"Okay." Luo Hao responded.

Luo Hao then called the patient's family members to the doctor's office.

The obstetrician and gynecologist was stunned as he watched what happened. It took him a few seconds to vaguely understand what was happening.

Their department is connected with the interventional department, especially for patients with scar pregnancy, interventional hemostasis is the first treatment option.

Compared with surgery, interventional embolization causes almost negligible trauma to the patient.

But unfortunately, as Director Qian and others from the Mine General Interventional Section went to the south one after another, this type of surgery had to be stopped.

When encountering similar patients, the only option is to stop the bleeding first. If the effect is not satisfactory, the only option is to cut the uterus.

Every time Director Sun performed a similar operation, he would curse the former Director Qian of the Interventional Department in a low voice, saying that he was jealous of money.

But patients in the south are also patients. Director Qian works to make money, which is not wrong at all.

The obstetrician and gynecologist was nervously guessing who Director Lin had hired to perform the interventional surgery. While taking care of the patient, he urged the blood transfusion department to quickly send blood.

Ten minutes later, rapid footsteps came from the corridor.

bang~
The door of the rescue room was pushed open. The person who pushed the door was so hard that the door hit the wall with a loud bang.

(End of this chapter)