White armor

Chapter 9 Hungry Bones

[Main mission: smaller damage, more possibilities (first stage).

Mission content: Complete 100 interventional surgeries.

Task time: three months
Mission reward: +1 random attribute point, 10000 experience points, +1 diagnostic auxiliary AI fragment. 】

The tasks issued by the system a long time ago began to flash, as if to remind Luo Hao not to forget them.

Oh? !
Luo Hao's worries disappeared.

Originally, he was particularly afraid that the system would issue DSA interventional surgery to him.

Today, in order to perform uterine artery embolization surgery on a patient with scar pregnancy, my uncle Lin Yuming almost fell out with himself.

If he continues to do this without knowing whether to live or die, Luo Hao has no doubt that his uncle will become an insurmountable stumbling block for him.

Wait for a while and find a chance to convince him.

The reminder of the system's task was just right, as if it knew its own difficulties and suggested that he perform a puncture operation for the liver cyst.

The surgery is easy, almost risk-free, and most importantly, it requires no radiation.

The only question is whether the old directors can accept the new technique.

But, with the support of the Medical Director, this is not a problem.The old director's opinions were only for "reference", and they also had to "refer to" Lin Yuming's opinions.

In the past, Luo Hao's impression of his uncle Lin Yuming was limited to doting on him.But when he returned to the mine and met his uncle at work, Luo Hao knew that he could be as fierce as a tiger and as cunning as a fox.

So Luo Hao has strong confidence in Lin Yuming.

"Do you understand what I told your family?" Dr. Jiang looked at the patient and asked word by word.

"I understand." The patient's family member said with a sad face, "If he stays in our hospital, Director Wen will have to perform laparoscopic liver cyst fenestration and drainage. Dr. Jiang, I am right about the procedure."

"That's right." Dr. Jiang nodded.

The patient's family members are indeed very concerned. It is difficult for a layman to describe such a difficult-to-understand surgical procedure in one breath.

It seems that they not only listened to themselves, but also searched online.Not only did I check it, but I didn’t check it less, it was already engraved in my mind.

"Dr. Jiang, if I had money, I would definitely listen to you." The patient's family members were in a hurry and didn't know where to put the money.

It looked like they had done something wrong, even breathing wrong.

"You're welcome, come in and talk." Dr. Jiang was polite and reasonable when he saw the patient's family members. He was not the kind of person who would not take his family members to see a doctor because he found it too troublesome, and his words were much gentler.

The patient's family members sighed and continued, "You said that laparoscopy is also a minimally invasive surgery, but it is more expensive than the surgery you recommended. But if you go to the provincial capital, you have to queue up for hospitalization, and the people who take care of my family have to eat and drink. Come on, it’s all money.”

"A while ago, my neighbor went to the provincial capital to be hospitalized for surgery. The hospitalization cost more than 4 yuan, and the person who took care of him spent a total of 3 yuan on food and accommodation."

"Why so many?" Even Dr. Jiang was stunned this time.

"It took more than 20 days to wait in line for hospitalization. I didn't know when the head nurse would call. I didn't dare to leave when I stayed in the provincial capital. I was afraid that I would be hospitalized right away if I waited."

"I don't dare to live in a place that is too expensive, but it's not good for patients if they don't have a good rest... Well, it's good to be at home for a thousand days, but it's difficult to go out. No matter what you do, you need money..."

"The surgery you mentioned does not cost much, and there is reimbursement from the New Rural Cooperative Medical System, but we really can't afford food, housing and other expenses."

The patient's family members seemed to feel a little guilty for Dr. Jiang as they spoke. They bowed deeply to express their gratitude, their voices choked with sobs.

"Thank you Dr. Jiang. Although we are from rural areas, we know who is good to us."

Doctor Jiang frowned, as if he was thinking about something but couldn't remember it for a while.

After a few seconds, he turned to look at Luo Hao.

"Ronald, did the obstetrics and gynecology department invite experts from the provincial capital for consultation a few days ago?"

"Yes." Luo Hao nodded and gave an affirmative answer.

Dr. Jiang stopped talking to Luo Hao, but stood up and patted the patient's family members on the shoulders.

"You stayed up most of the night. Do you feel uncomfortable and cannot sleep well?"

This sentence touched the hearts of the patient's family members, and their eyes became red.

"It's okay, you go back and have a good rest first, and we will discuss a better solution."

The patient's family members estimate that Dr. Jiang is perfunctory, but the choice is his own and he cannot blame others.

After expressing their gratitude repeatedly, the patient's family members left.

Dr. Jiang closed the door of the doctor's office and looked at Luo Hao curiously.

"Doctor Jiang..."

"Call me brother." Dr. Jiang smiled and said, "Xiao Luo, I heard from the doctor in the B-ultrasound room that some patients had it done by you."

"Yes." Luo Hao nodded, "I have done 11 cases, and the puncture technique is not difficult. Brother Jiang, do you recommend that the patient go to the provincial capital to undergo puncture, drainage and solidification of liver cyst under B-ultrasound?"

"Director Wen insisted on laparoscopic liver cyst fenestration and drainage, but I, an old attending, spoke softly and said nothing."

"No way."

Dr. Jiang chatted slowly and slowly.

If other people had said these words, Luo Hao would have thought that they were complaining about the unfairness of the world, but when they came out of Dr. Jiang's mouth, even though he mocked himself for being an old doctor, Luo Hao could hear some expectations.

The words didn't explain it, but there was a tacit understanding between the two.

"I'll go back and ask, I'm just a junior clerk." Luo Hao didn't agree straight away, but gave a vague answer in a smooth manner.

"I have a little apprentice." Dr. Jiang changed the topic very quickly and suddenly talked about another thing, "It's the doctor who treated appendicitis on the stage tonight. He is very good and has good hands. Unfortunately, I can't He can’t do it anymore, he’s... straight-tempered, Ronaldinho, if you continue to do puncture surgeries, you can take him with you if you have the chance, he’s really talented.”

"I'm just a little guy, we're all the same." Luo Hao said with a smile, noncommittal.

When Dr. Jiang saw that Luo Hao didn't answer, he didn't force it and started writing the operation record.

After Luo Hao finished his work, he said goodbye and left.

After going out, a young doctor walked towards me. He was wearing an isolation gown and pulling on his slippers.

It looked normal, but... Luo Hao felt something was strange.

Luo Hao showed a habitual smile to the doctor. He took out his cell phone and checked the time before leaving.

"Master, is the person who just left Luo Hao from the medical office?"

the young doctor asked as he walked into the doctor's office.

"Chen Yong, please keep your voice down." Dr. Jiang said, "Sit down and let me tell you something."

Chen Yong took off one layer of the mask and still wore another layer of mask underneath.

Dr. Jiang was not surprised. He took out a cigarette and threw it to Chen Yong. He lit it and took a deep breath.

"Master, what's wrong?" Chen Yong took off another layer of mask, and there was actually another layer of mask inside.

"Nothing, what do you think of patients with 3-8 beds?"

"Hepatic cyst has affected liver function. The best way is puncture treatment." Chen Yong took off the last layer of the mask, his face was handsome and angular.

If he stood on the stage, just with his face, there would be countless shouts and applause from the audience, and he would gain countless traffic.

"The patient's family just told me that traveling to the provincial capital is too expensive, so they are still planning to stay for laparoscopic liver cyst fenestration and drainage."

"!!!" Chen Yong showed the indignation that only young people would have, "Master, you are obviously the best in surgery in the department, but the director has to be the one named Wen. Why? Just because he is a second-generation doctor?!"

"Don't talk nonsense." Dr. Jiang held a cigarette in his mouth and glanced at the door of the doctor's office.

The door was closed, and no one could be seen outside through the frosted glass.

Although it was quiet at night, Jiang Wenming was still very careful.

"Master, I am telling the truth."

"You can't tell the truth." Dr. Jiang said, "Laparoscopic liver cyst fenestration and drainage is also a serious surgery. Which surgery method is used involves the judgment of the disease and has nothing to do with the person."

"I remember." Chen Yong lowered his head and whispered.

Doctor Jiang looked at the young apprentice in front of him and smiled slightly, "Luo Hao graduated from Xiehe's eight-year program."

"It's not necessarily that he's that strong, he's just good at taking exams." Chen Yong rubbed his neck unconvinced.

"I will report to the outpatient clinic today. You should talk less in the department. If it is possible, for example, for patients with 3-8 beds, Luo Hao will contact experts in the provincial capital to do the surgery. You must have a good relationship with Luo Hao. relation."

Chen Yong pouted.

"They are all young people. They go to an Internet cafe to have sex with a couple of kings, and then go have sex and have a drink. Then the lively relationship starts. Is there anything simpler than this?"

Dr. Jiang said, his tone already filled with stern reproach.

"Ask an expert to perform surgery? What kind of surgery?" Chen Yong asked.

Doctor Jiang knew that Chen Yong didn't want to, and he was not that kind of person. He smiled slightly and followed Chen Yong's words to change the topic.

I talked about the recent incident where the obstetrics and gynecology department asked experts to perform puncture, drainage and solidification of ovarian cysts.

"I didn't see it with my own eyes. I only know that Director Sun of the Obstetrics and Gynecology Department made a few gossips when he performed the operation. I also heard that he did not count. But today Luo Hao assigned me a table, and I think he did a good job in the operation."

"Oh? Better than me?" Chen Yong was like a newborn calf, wanting to hit everything he saw.

"Haha, you will know after seeing it." Dr. Jiang did not give a direct answer. "The equipment can best reflect a doctor's technique and awareness. Sometimes a good assistant can make the operation speed up."

"Today, my surgery took off."

"!!!" Chen Yong was unconvinced and looked up at Dr. Jiang.

"These are all trivial matters. Future surgeries...if the scientific and technological progress is not interrupted by force majeure such as war, surgeries will inevitably move in the direction of minimally invasive surgery. In the current medical field, laparoscopic surgeries and Da Vinci robots have replaced a large number of Part surgery.”

"This is the general direction of the future, and it does not depend on human will."

"We are a small hospital, and our technical level lags behind the domestic average, let alone compared with the Imperial and Magic Capitals. You are very talented, and if you want to take the path of medicine, Luo Hao is a good choice."

As he said this, Dr. Jiang smiled self-deprecatingly.

"I'm just giving you a suggestion. Who knows how far it can go? What I mean is, if I happened to meet Luo Hao when I was your age, I would consider having a good relationship with him and working together."

Chen Yong frowned, a trace of stubbornness flashed across his handsome face.

……

Early the next morning, Luo Hao stood at the door of the office of the Director of the Medical Department in high spirits.

Lin Yuming was very envious.

I worked hard for most of the night and went home to catch up on my sleep. Now I can't keep up with my energy at all.

But Luo Hao was different. This kid almost didn't sleep all night and was still full of energy. He didn't look tired at all.

Think back then...

Lin Yuming's thoughts drifted to more than 20 years ago.

"Director Lin, I've finished reporting yesterday's events." Luo Hao said concisely and then hesitated.

"What else do you have to do?" Lin Yuming asked.

Seeing Luo Hao's eyes looking in, Lin Yuming turned around and entered the room. Luo Hao followed him in.

After closing the door, Luo Hao told the patients he saw in the general surgery department.

"Uncle, I can do this operation." Luo Hao said with a smile.

"Did you agree to Jiang Guangming?" "Uncle, I didn't agree. I'm just a little guy, I don't dare to make my own decisions. Although the operation went well, I know that it was the directors giving you face. Even so, now I feel like I’ve already encountered resistance in the obstetrics and gynecology department, I feel it.”

"You still know." Lin Yuming sat on the chair, put his hands on his lower abdomen, and kept circling each other with his thumbs.

"It's just a feeling." Luo Hao said with a smile, "Uncle, according to the book, what I do is called stealing people's wealth. This is the same hatred as killing one's father and taking one's wife, so I don't dare to say more."

Lin Yuming was a little surprised.

Luo Hao, this kid, has good eyesight and knows the depths of things. He can actually see so many things clearly.

Moreover, he is not ostentatious at all and is extremely low-key, which is quite difficult for a young man.

"Walking in brocade clothes at night" is an idiom, and I don't know how many people's mentality it describes.

If I had solved a problem in obstetrics and gynecology when I was young and had performed 11 surgeries in a row, my tail would not have reached the sky.

If you see a dog in the hospital, you have to go up and kick it, let alone being unassuming and low-key.

"I thought the treatments for liver cysts, kidney cysts, and ovarian cysts are similar and can be treated together."

After Luo Hao finished speaking, he added: "Minimally invasive, less expenditure on medical insurance, and patients recover quickly..."

With that said, Luo Hao saw Lin Yuming starting to make tea, and he said solemnly, "The key is not to eat the thread."

Lin Yuming glanced deeply at Luo Hao. Within a few seconds, he couldn't tell whether Luo Hao was threatening him.

"Uncle, the family of the patient I saw in the general surgery department last night was very sensible, but they just didn't have money and couldn't go to the provincial capital. I just took a look and found that the DIP core score for laparoscopic hepatic cyst fenestration drainage is 1720. It can Using puncture to solve the problem can save some money for medical insurance, right?"

"Don't be careful." Lin Yuming said.

"Yes, yes, yes." Luo Hao stood in front of Lin Yuming honestly and neatly.

"This matter must be fought first."

"beat?"

"I will take people to the General Surgery Department in the afternoon to implement the medical insurance policy." Lin Yuming said, "But this is just a temporary measure. We must stabilize the patient flow from the root cause."

"B-ultrasound?!"

"Yes." Lin Yuming said, "The B-ultrasound department is an upstream department. If I have time, I will have a meal with Director Li from the B-ultrasound department. You can accompany me."

"Okay, uncle." Luo Hao looked at the task time in the system panel in the upper right corner of his field of vision and was not in a hurry.

"Now that you are in the obstetrics and gynecology department, don't think about it. Doctors are most afraid of empathy. For example, if you see a patient who is too poor to go to the provincial capital, once..."

Luo Hao smiled in his heart.

A few days ago, a patient was treated because of Lin Yuming's sympathy, but now he was talking nonsense in front of her.

Luo Hao didn't refute, just listened quietly.

At the same time, Director Sun of the Obstetrics and Gynecology Department was sitting in the office with a sad face.

"Sister, we have been playing together since childhood. Don't lie to me."

A woman was sitting on the bed in Director Sun's office with a puzzled expression on her face.

Director Sun looked at the "ungrateful" cousin in front of him, feeling bitter and unable to express his feelings.

"Sister, I heard someone said that when you perform ovarian cyst puncture surgery, after the operation..."

"How are you after the operation?" Director Sun said disdainfully.

"They are talking nonsense, saying that they can walk back to the ward. My sisters don't believe it, and I don't believe it either. The disease was cured without pain or itching? But the strange thing is that after she was discharged, she went to three places for review, and they all said that the cyst disappeared. ”

"Humph."

"Sister, I'm timid. I've had an ovarian cyst for several years, and it's getting bigger year by year. I can't do it without doing something. So I came to see you, but..."

"Do you believe me or not?" Director Sun asked.

"Of course I believe you."

"So, her surgery was performed by the nephew of the director of the medical department of our hospital. Do you think it is good?" Director Sun said disdainfully, "If the surgery is really good, why don't I do it?"

"Ah!" Director Sun's cousin was surprised.

"Of course it's true. Can I still harm you? We are all family members. I suggest you undergo minimally invasive surgery. I have done this surgery for more than ten years and have treated thousands of patients. I am very mature. I don't recommend it to you. Go ahead, you have to listen to people’s nonsense. Just tell me what you are talking about!”

Director Sun's cousin blushed at the words.

She looked at Director Sun carefully and finally said, "Then I believe you."

"That's right." Director Sun smiled.

Director Sun's cousin has completely lost her temper and has long lost her previous attitude of raising an army to investigate.

If it's not easy to talk and discuss, you have to curse a few times, Director Sun thought in his mind.

But she's also awkward.

The puncture surgery was performed by Deputy Director Liu and Luo Hao. Director Sun only knew how to perform laparoscopic surgery. She also knew that this surgery might be better, but after all, she didn’t know how to do it, so she kept giving herself psychological hints that puncture surgery was easy. If something relapses, doing it means not doing it, which is irresponsible to the patient.

Md!

Director Sun cursed in his mind after sending her cousin away.

After returning, Director Sun called Luo Hao out.

"Ronald, have you prepared to ask the professor to perform surgery recently? How many patients do you have on hand?" Director Sun tried his best to show a kind and kind smile.

Before Luo Hao could answer, an obstetrician and gynecologist from the ward hurried out.

"Director, the patient has convulsions!"

Director Sun's expression changed and he ran to the ward without talking to Luo Hao.

Luo Hao didn't follow him immediately to see the situation. He froze on the spot.

"Ding dong~"

The sound of system tasks reaches my ears.

[Emergency mission: Bone hunger

Task content: Treat a patient with induced labor for convulsions.

Mission time: 5 day.

Mission reward: 10000 experience points, peer worship +1. 】

This task was a bit strange. Luo Hao didn't understand what the system was saying.

What's the use of peer worship after seeing the ghost?Luo Hao frowned slightly.

My mother is a low-key person, never show off or show off.Therefore, Luo Hao has been subtly influenced since childhood and developed a low-key temperament.

Peer worship +1 does not mean much to Luo Hao.

Luo Hao didn't mind Jin Yi's night walk.

What puzzles Luo Hao is the name of the mission - Bone Hunger. What does it mean?
He came to the door of the ward full of suspicion and saw the nurse giving an electric shock to the pregnant woman.

The patient's vital signs were stable, but there was foam at the corner of the mouth, and his hands and feet twitched from time to time.

Director Sun stood next to the patient and seemed to be thinking intently, but that thinking expression always gave Luo Hao the feeling that Director Sun's mind was blank.

The patient's life was not in danger for the time being, and there were many people rescuing him. Luo Hao glanced at the bed number, then quietly exited and returned to the doctor's office.

Opening the medical record, Luo Hao read it carefully.

The patient, a [-]-year-old female, was transferred from a lower-level hospital to the Mine General Hospital for treatment due to [-]+[-] weeks of amenorrhea and nausea and vomiting for [-] months, which worsened for [-] days.

Among the various examination indicators, the blood calcium was >[-]mmol/L, the urine routine showed: urine ketone was weakly positive, and the electrocardiogram showed: first-degree atrioventricular block and STT changes in some leads.

After admission, the obstetrics and gynecology department gave her volume expansion, diuresis, and calcium-lowering treatment, but the effect was not good, and the patient developed convulsions until today.

Luo Hao read the medical records and glanced at the system task - bone hunger.

High calcium ions seem to be related to bones, but I don't know what the relationship is.

The system interface did not provide relevant diagnosis. The background turned dark red and flickered slightly, and there was a line below - Insufficient auxiliary examination data, unable to diagnose.

But the difference from before is that the system gives suggestions after being unable to diagnose - it is recommended to check thyroid B-ultrasound.

Ok? !

Luo Hao was startled.

Could it be that there is a problem with the patient's parathyroid gland?
The parathyroid gland is closely related to calcium ions in the human body and regulates calcium and phosphorus metabolism.Once a problem occurs, the calcium ion concentration will change.

Because the incidence rate is low and it is not common clinically, many doctors will ignore this point.

When he was in school and doing internship, Luo Hao met a tumor patient. A review at the local hospital revealed that his blood calcium was high. The patient's family was afraid that the patient would be transferred, so they called Xiehe's expert online for treatment.

At that time, Luo Hao's teacher prescribed some laboratory tests, one of which was thyroid B-ultrasound.

It was finally determined to be parathyroid disease, and the teacher also told Luo Hao some relevant medical records.

After the reminders from the system interface and Luo Hao's thinking, he gradually got the answer.

"Inform the ICU that you have to move even if you have a bed, and you have to move if you don't have a bed!" Director Sun's sharp voice came over.

She panicked!
Luo Hao could recognize panic and helplessness in Director Sun's voice.

Transferring the patient to the ICU is also one of the common blame-shifting skills in clinical practice, and Director Sun is proficient in it.

"A patient with such a severe condition is told that there is no bed in the ICU! I don't care."

Director Sun's voice is getting closer and closer.

Soon, she strode in and looked at Luo Hao with a livid face.

"Ronald, please help my sister transfer the patient to the ICU." Director Sun said directly.

Luo Hao knew that at this time, the medical office's words had weight.

Luo Hao doesn't want to think about weight.

"Director Sun, is that the convulsing pregnant woman?"

"Yes! I was a nice person, so I smoked when I asked. This is nothing."

Luo Hao stood up and said, "Director Sun, I'm going to do an ultrasound on the patient, and we'll make a decision later."

"B-ultrasound?!" Director Sun was stunned.

Isn't this nonsense? The patient had no external injuries and was convulsing inexplicably. Luo Hao actually wanted to have a B-ultrasound.

It must be that he only knows how to do B-ultrasound and can't think of how to solve the problem at the moment, so he just uses whatever is familiar to him.

Can Luo Hao afford to take responsibility for delaying the treatment of patients?
"Luo Hao!" Director Sun's voice was a little sharper.

"Ok?"

"Did you make the decision on behalf of the Medical Office?" Director Sun asked sternly, and directly slapped Luo Hao.

"Yes!" Luo Hao replied calmly, "I represent the medical office."

(End of this chapter)