White armor

Chapter 121: Running in both directions (new year update~Wang Wang Wang)

When he came to the operating room and changed his clothes, Luo Hao really couldn't look directly at Fan Dongkai.

This guy must be looking forward to going to Princeton and becoming a junior doctor like he is doing now.

What I thought was so beautiful!

Luo Hao was a little helpless, but also a little hopeful.

With such pure-blooded horses and the blessing of almost unlimited patients in Phase 3 and 4 clinical trials in India, the task should be completed.

Some time ago, as Cui Mingyu and Yuan Xiaoli fell down one after another, the progress bar of the amount of surgery progressed extremely slowly.

Unexpectedly, Fan Dongkai fell from the sky and hit Luo Hao.

Well, this junior doctor is pretty good!

Luo Hao and Fan Dongkai had the same idea.

Entering the operating room, Luo Hao first said hello to the anesthetist and nurse, and then started the last examination with the echocardiogram that had been prepared long ago.

Although Fan Dongkai was surprised by Luo Hao's versatility and could even do ultrasound, he did not show surprise. Instead, he did his duty as a junior doctor, holding a pen and paper and preparing to take notes.

Ronaldinho's level is very high, and he is an extremely rare hexagonal doctor. He can pick up everything and is extremely proficient.

Director Tian was stunned.

"Ronaldo, is your assistant an expert from Princeton?"

He appreciated that Luo Hao also did an excellent job in doing ultrasound, and Luo Hao appreciated that Fan Dongkai recorded quickly and professionally.

Guidewire echo can be seen in the inferior vena cava. The anterior leaflet of the tricuspid valve slightly prolapsed into the right atrium during systole, with a depth of 4.0 mm. "

Scanning under three-dimensional ultrasound: the guidewire and the adjustment bundle move simultaneously with the cardiac cycle, and the boundary is unclear. They then return to the right atrium through the tricuspid valve and then enter the inferior vena cava.

Director Tian couldn't figure it out and felt that there must be something fishy here.

Going in both directions is a joyful thing.

Only interns and young doctors who have just arrived at the hospital and have particularly high emotional intelligence can do this kind of thing.

Seeing Luo Hao go to wash his hands, Director Tian brought his mind back and went to wash his hands with Luo Hao.

"The guide wire can be seen in the superior vena cava, and the guide wire goes from the superior vena cava to the right atrium to the tricuspid valve to the right ventricle. The guide wire recurs in the right ventricle and passes through the regulatory bundle.

But even though Luo Hao could complete this operation, he had to put in 100% of his strength to complete it, and there was no room for redundancy.

Any doctor with a little more seniority would like to have some facial recognition, but they would not do it like Fan Dongkai.

"!!!"

"Director Tian, ​​there may be a lot of bad things that happen after the operation. There are so many people talking in the operating room. I can't guarantee that the patient's family will not know about it. This is not a good thing, it is a big pot. I am Professor Xiehe after all, and I will take the blame. It will be better in time.”

He subconsciously thought Luo Hao was a clerk in the medical department, so he was stunned when he heard what Luo Hao said.

Director Tian was moved.

Ultrasound tip: After the patient had renal failure and hemodialysis catheterization, guidewire echoes were visible in the right atrium, right ventricle, superior and inferior vena cava, mild prolapse of the anterior leaflet of the tricuspid valve, and moderate tricuspid valve regurgitation. "

Fan Dongkai wrote down everything Luo Hao said, and every word was correct.

"Ronald, are you kidding?"

This is the conclusion Luo Hao came to after doing it dozens of times in the system operating room.

After performing the cardiac color ultrasound, Luo Hao glanced at the operating room and saw that Director Tian was distracted and the other doctors were a little confused.

The ticking of ventilators and monitors became the background.

After completing the process of disinfecting and laying out sterile drape, Director Tian "habitually" stood in the position of the surgeon again.

"Director Tian, ​​don't make trouble, don't make trouble." Luo Hao said with a smile, "It's true that he is an expert from Princeton, but he is definitely not my assistant."

After brushing his hands, Director Tian habitually slowed down a little, waiting for Luo Hao to disinfect.

"Director Tian, ​​the surgery is a bit difficult, how about you help me?" Luo Hao mentioned it to Director Tian as if he was chatting about everyday matters while putting on his gloves.

"???"

Luo Hao didn't tell the most difficult part because Director Tian also knew it.

But his temper is too gentle, like a glass of warm water.

Luo Hao's calm and peaceful voice sounded in the operating room.

Luo Hao put on sterile clothes and felt helpless when he saw Director Tian's position.

Fan Dongkai looked impatiently.

Luo Hao didn't mind and disinfected his hands.

Help Luo Hao yourself? Could it be that Luo Hao wanted to be the surgeon?

This cannot be explained at all.

Seeing that Director Tian hadn't moved yet, Luo Hao could only toughen his attitude.

But the world-class experts from Princeton actually looked down...

Director Tian believed what Luo Hao said, but after he believed it, he recalled the scene in the locker room where Fan Dongkai helped Luo Hao get his slippers, and Director Tian began to feel confused again.

"Well, the surgery requires stripping off the guide wire and incising the heart. Let me do it." Luo Hao leaned into Director Tian's ear and whispered "suggestions."

"CDFI showed: regurgitation was seen in the tricuspid valve orifice, the regurgitation area was 7.3 cm2, the maximum regurgitation velocity was 212 cm/s, and the PG was 17 mmHg.

The matter of being the surgeon actually had to be discussed with someone, and he kept asking the director of the local hospital for help.

The key is that the director doesn't seem to know what's going on. He just stands in the position of the surgeon and refuses to move.

If he were in his place, he would definitely be ashamed of himself with a few words.

"Professor Xiehe was asked by the patient's family to perform the surgery, and you were the surgeon. What's going on?" Fan Dongkai couldn't stand it, and stood behind Luo Hao and said coldly.

Director Tian was startled, and then his face turned red.

In his mind, Luo Hao was still a clerk in the medical office. He completely forgot that Luo Hao was already a professor at Union Medical College and the "outside expert" for this operation.

Feeling a little suffocated, Director Tian wanted to turn around and step down.

But out of fear of Lin Yuming and Luo Hao, he still raised his hands flat in front of his chest, turned around and stood opposite as the first assistant.

Standing a few steps away, Director Tian had already made up his mind that he would never do this surgery and let Luo Hao do it all.

Young man, arrogant and domineering!

Director Tian knew that Luo Hao was good at performing interventional surgeries and even included experts from Princeton in his medical team.

But Luo Hao was so arrogant that he thought he could even perform cardiothoracic surgery!

If you don't let me do the surgery, I won't do it yet. When I can't do it anymore, Director Lin will tell me something small!

Director Tian's abacus was rattling.

Luo Hao stood in the position of the surgeon and saw Director Tian act as an assistant seriously. After disinfection, he started the operation.

"Sternum saw."

Luo Hao stretched out his hand.

The heavy sternum saw was handed to Luo Hao's hand.

The electric saw buzzed, cutting open the bone wax behind the sternum to stop the bleeding, and pulling the sternum apart to expose the heart.

The right atrium was incised, and the guide wire was found to be spirally coiled in the right atrium. The guide wire entered the right atrium from the superior vena cava, passed through the tricuspid valve, entered the right ventricle, wrapped around the chordae tendineae of the tricuspid valve, and then returned to the right atrium through the tricuspid valve. Enter the inferior vena cava.

It’s the same as the last echocardiogram done before surgery!

Director Tian was slightly disturbed. On the surface, he was calm, but in his heart, he felt incomprehensible.

Ronaldinho is awesome!

The previous process was extremely skilled, as if he were a cardiac surgeon who had performed thousands of operations. There was nothing to lament about it. If Luo Hao failed to do even this, Director Tian could really step down.

The key is that a seemingly useless examination before surgery is actually an indispensable way to finally determine the surgical approach and plan how to do the surgery.

Could he really do cardiothoracic surgery?

Director Tian's confidence has been shaken.

Recalling Luo Hao's real-name report by Wen Youren years ago, there happened to be a patient with ascending aortic dissection who needed elephant trunk surgery.

912 Director Gu brought his team to fly the knife. During the operation, they talked about Luo Hao, but did not listen to what Director Gu said.

Strange, are they so strict with their mouths?

Director Tian was a little distracted.

"Crack~"

The hemostatic forceps gently tapped on the back of Director Tian's hand.

Luo Hao showed mercy and did not hit the most painful styloid process of the radius.

"Director Tian, ​​we need to dissociate the superior vena cava." Luo Hao did not reprimand Director Tian, ​​but expressed his thoughts gently.

Fan Dongkai frowned, Luo Hao had a weakness, he had already observed it!

Luo Hao is too gentle and too talkative, probably because he has never been a senior doctor.

What was there to say to that rookie doctor? The hemostatic forceps were pulled up and even hit him in the face.

If you can do it, do it; if you can't, get out!

Simple and clear, why take care of his face!

Fan Dongkai thought.

But it's okay. Luo Hao's weakness is that he won't reprimand junior doctors, but if he wants to be a doctor under him, it is good to have less trouble.

Yes, yes, Fan Dongkai became more and more satisfied with Luo Hao. He was indeed the most suitable junior doctor.

It's a pity that my girl is still young. If she is of the right age, it would be best for Luo Hao to be his son-in-law. With him guiding his future, Luo Hao's future is boundless.

pity.

Director Tian concentrated on helping, and Luo Hao then carefully separated the superior vena cava lateral guide wire.

If the guide wire on the superior vena cava side is adhered to the opening of the superior vena cava, carefully separate it and release the superior vena cava blocking band, and pull out the guide wire toward the right atrium.

Just like the situation encountered in the system operating room, the process of pulling out the guide wire did not encounter obvious resistance.

Luo Hao successfully removed the guidewire completely from the superior vena cava.

Then carefully separate the adhesions between the guide wire and the tricuspid valve chordae tendineae to protect the tricuspid valve chordae tendineae, gently guide the guide wire out of the tricuspid valve chordae tendineae, and remove the part of the guide wire in the right ventricle.

Loosen the superior vena cava blocking band and gently pull out the guide wire. Luo Hao felt greater resistance.

Director Tian also saw that Luo Hao encountered difficulties.

The longest time for superior vena cava occlusion is 20 minutes. Luo Hao completed the operation in less than 10 minutes, and the whole process went smoothly.

Director Tian had already forgotten the idea that Luo Hao didn't know how to perform cardiothoracic surgery. Seeing the obvious resistance, Director Tian sighed.

"The guide wire remains in the heart for a long time, so extracorporeal circulation is required. Director Lin, our equipment can be used. Please call Director Xu."

Lin Yuming also saw that Luo Hao had some difficulty in operating and began to feel worried.

The mine always has equipment, but the anesthesiologists who know how to perform extracorporeal circulation have long gone to the south. The only doctor in the hospital who has done extracorporeal circulation is the director of the anesthesiology department.

But he had only done it before, so he couldn’t say how good it was.

And it’s been too long since the last extracorporeal circulation, so I’ve probably already eaten.

"Luo Hao, do you know how to perform extracorporeal circulation?" Lin Yuming asked, standing behind Luo Hao.

"Huh? No need for extracorporeal circulation."

"???"

"???"

Director Tian and Lin Yuming looked at Luo Hao at the same time.

"Help me get a room sealing device." Luo Hao stretched out his hand.

However, the operating room suddenly fell into an awkward silence.

No one spoke, everyone looked at Luo Hao quietly.

Luo Hao was stunned for a moment, thinking of something, his hands were a little cold and trembling slightly.

Fan Dongkai was confused, "Atrial defect sealing devices are very common and are the most basic equipment. You... shouldn't you be doing similar surgeries and don't have the relevant consumables?" Damn it!

Luo Hao cursed in his heart.

It has been so smooth lately that I forgot to go back to the mine manager for surgery after completing dozens of operations in the system operating room, and the mine manager lacked equipment.

I want to cry without tears.

Halfway through the operation, there was no suitable thing. It was really frustrating that the sky was not responding and the earth was not functioning properly.

The atrial defect sealing device is indeed one of the most basic interventional surgeries in the Department of Circulation, but it is usually performed on children, and the reimbursement ratio provided by medical insurance is very low. Each one is compensated for one, so the mine manager gradually stopped similar operations. surgery.

There is no atrial defect sealer!

Luo Hao panicked a little, then forced himself to calm down.

He glanced at the luck value of 56+2 on the system panel and took a deep breath.

"Uncle, take out my phone."

Luo Hao moved his waist, and Lin Yuming took out his mobile phone from his hip pocket.

"Help me find Dannizi and call her."

"Your girlfriend?" Lin Yuming asked.

The joy was quickly dissipated by anxiety, and Lin Yuming did not bother to ask. After all, the patient was still on the operating table.

He found Da Nizi's name, dialed the number, and put the phone to Luo Hao's ear.

"Da Nizi, I need a housing shortage sealing device. How long will it take for you to arrive in Donglian City?" Luo Hao asked in a deep voice.

"We're here, we've entered the city, only a few minutes left!" Wang Jiani said quickly.

Although her voice was still like Belle Belle's big carp jumping around, full of energy, this time it was different from usual, and Luo Hao could hear a hint of trembling.

"Are you cold? Are you wearing too little?" Luo Hao asked with rare concern.

"No, I'm scared, Doctor Luo." Da Nizi was about to cry, her voice became more and more trembling, "The driver was driving too fast. I feel like I will die at any time."

"Little girl, you have to go to Donglian City in two hours, so don't talk nonsense! Besides, I'm driving, so you can say something auspicious."

A man's voice interrupted Wang Jiani's complaint.

Luo Hao sighed, "Come directly to the operating room of the hospital. I'll ask Director Lin to get the atrial defect sealing device."

"Okay, Doctor Luo."

Luo Hao didn't ask Wang Jiani how he knew he had returned to Donglian City. He would have plenty of time to ask in the future, so he was not in a hurry.

"Warm salt water gauze."

After hanging up the phone, Luo Hao asked for warm salt water gauze to cover his heart.

"Uncle, please help me get the cavity sealing device. I'll wait here and do it again in ten minutes."

Lin Yuming was a little disappointed, but he still turned around and went out to wait for the room sealing device.

"Xiao Luo, what are you using the room sealing device for? Isn't it already open?" Director Tian asked.

"Blunt separation."

Before Luo Hao could answer, Fan Dongkai said coldly.

"The atrial defect sealing device is not only useful for interventional surgery, it is a tool."

Director Tian lowered his head and remained silent.

"Cardiothoracic surgery does not perform interventional surgeries. They are lazy, greedy, and avoid the serious ones, but you can't have never seen the atrial defect sealing device." Fan Dongkai's tone became sharper, as if Director Tian had done something outrageous. Son.

Director Tian wanted to refute, but he didn't say anything.

He doesn't care that Fan Dongkai is the world's top interventional surgery expert. No matter how specialized the expert is, he can't specialize in Donglian City.

But Lin Yuming and Luo Hao are two big mountains that lie in Director Tian's heart.

The atmosphere was a little awkward.

Luo Hao smiled, "Director Tian, ​​if you need help in the future, you can contact me at any time."

"??!!"

Director Tian was startled and immediately raised his head, "Xiao Luo, it's true!"

"Of course, you can safely perform many surgeries. It only takes me three to five hours to get back, which is very fast."

"Great!" Director Tian witnessed Luo Hao's surgery with his own eyes and received Luo Hao's promise, and his heart suddenly fell to the ground.

What surgeon doesn’t want outside help?

Especially a doctor of Director Tian's level.

They seem to have a very high technical level, but the trouble is that they are the technical ceiling in this three-thirds of an acre of land in Donglian City.

Once something goes wrong or you encounter a problem, you can't find anyone to discuss it with.

Luo Hao is giving timely help.

Lin Yuming came back soon, holding a bunch of room defect sealing devices.

Luo Hao picked one and the operation continued.

A 40 cm long atrial defect occluder was used to deliver the sheath from the guide wire into the inferior vena cava. Luo Hao paused for a moment when encountering resistance, and then carefully rotated the sheath and introduced it forward.

It turns out that this is blunt separation!

The principle of operation is very simple and Director Tian can understand it at a glance.

But he not only understood the use of atrial defect sealing device for blunt dissection, but also understood Fan Dongkai's reprimands to him.

Cardiothoracic surgery, I don’t know what an atrial defect occluder looks like...

It's indeed a bit excessive.

At 6′22″, Luo Hao finally took out the inferior vena cava lateral guidewire completely. There was a small amount of fiber cord attached to the surface and there was no bleeding.

The total length of the removed guidewire was measured to be 70 cm, which was consistent with the length of the original guidewire.

The bleeding was stopped, flushed, sutured layer by layer, and the operation was declared over.

The patient's vital signs were stable and the surgery was supportive. Luo Hao had nothing to worry about.

With the final stitch, the job is complete.

But Luo Hao did not go to the system space immediately to check the task rewards. After the patient woke up from anesthesia, Luo Hao found Wang Jiani after sending the person back to the ward.

Wang Jiani was wearing a white down jacket and a military coat on the outside.

Her down jacket was just a decoration and could not keep out the cold. Luo Hao understood.

Luo Hao almost stopped laughing when he saw Wang Jiani dressed like a penguin, carrying two trolley cases, and moving clumsily like a penguin.

"Da Nizi, how do you know I want to use consumables?" Luo Hao asked.

"I... don't know, but the sales director said to let me be wherever you are."

"and then?"

"I often ask the doctor in the department where you are. I found out too late today..." Wang Jiani felt a little aggrieved. "I quickly took a taxi and said it was urgent. I asked the driver to drive as fast as he could and hurry up and get there. Lotus City.”

"As a result, the master drove the car so fast that I felt like I had transformed into a Transformer and flew directly over."

Luo Hao sighed.

I wanted to reach out and pat Wang Jiani on the shoulder, but I felt it was too intimate, so I stopped.

"What have you been playing recently?" Luo Hao asked softly.

Wang Jiani's eyes lit up!

"Dr. Luo, Einstein's brains are selling very well. I even feel that if I can sell them for a while, I won't have to work."

Luo Hao smiled.

"Then I usually record some short videos or something, and the number of likes is okay. I don't pick up Hiroko, it's just fun."

"Why didn't you answer?" Luo Hao was surprised.

"I don't understand, I don't do union work, I don't have my own team, it's too tiring. Make videos well, and what should come will always come."

This state of mind is completely opposite to Fan Dongkai's pure-blooded horse.

But everyone has his own destiny, Luo Hao didn't say much.

"Let's go, I'll take you to go through the temporary procurement procedures."

Luo Hao didn't know anything about all this. He had completed the procedures at the medical office first and asked his uncle to make a call tomorrow. If Wang Jiani was not stuck in other departments, it could be completed in an hour.

"Doctor Luo, are the consumables used?!" Wang Jiani was a little excited.

"Well, it was very timely and the operation went well." Luo Hao gave a positive reply, "Thank you, Da Nizi."

Wang Jiani suddenly jumped up, and Belle jumped around.

"Great! I've been fishing for so long that I feel embarrassed. The director even liked my short video a few days ago!"

"..."

Luo Hao really didn't know how to evaluate this big-minded little girl.

"I'm here, it's inconvenient." Wang Jiani knew what was going on. She caught a glimpse of the mine manager's doctor looking over and about to leave.

"Go to the medical office first and go through the formalities there."

Luo Hao took Wang Jiani to the medical office and said hello to Lin Yuming on the way.

Luo Hao was very proficient in approval procedures and paperwork. After all, in the two years after graduation, Luo Hao basically did work that could be used clinically, but was somewhat distant from clinical practice.

"Well, just come back tomorrow to go through the formalities." Luo Hao handed the approval form to Wang Jiani, but he still felt embarrassed, "Big Nizi, I don't have a place to eat."

"Ah! Doctor Luo, I can just eat by myself. There are many people there. Now the hospital is full of manufacturers and dogs are not allowed in. It's not good to take me to eat with you. You are busy with your business."

"Hahaha." Luo Hao laughed and picked up his phone.

"Mom, I'm back." Luo Hao said with a smile, "There's still something going on here. I guess I have to go home late. I have a friend who helped me a lot. You can make some food for her."

"Huh? A woman, not a girlfriend."

"Hai, I can't tell you clearly. I'll make food for her. I'll arrange a hotel for her. Don't stay at home."

Luo Hao left another message for Manager Yin, "Da Nizi, go to my house for a bite to eat. You can't come all the way back without eating a bite of food."

"Thank you." Wang Jiani's eyes were shining, but there was a trace of confusion and confusion.

"The hotel has also made arrangements for you. After dinner, you can call a car and I won't be polite to you."

"You go about your business, Dr. Luo. If you want to throw a knife again next time, let me know."

Luo Hao's heart moved.

"I may go to India soon, but don't go there."

Just a heartbeat, Luo Hao thought about the horror of India for a moment and then gave up the idea.

"Why!" Wang Jiani was already eager to give it a try before she understood the situation.

"No reason, just go and get busy." Luo Hao began to chase people away.

Maybe what Chen Yong said was right, Luo Hao thought to himself - he was really the kind of person who wouldn't admit it even if he put on his long johns.

But isn't it convenient in this world? Luo Hao quickly found an explanation for himself.

After putting Wang Jiani in the car, before she could wave goodbye, her cell phone rang.

Luo Hao didn't even look at his phone. While watching Wang Jiani off, he picked up his phone and answered the call.

"Little Luo, what you did in this matter was a bit unethical."

A cold voice came.

(End of this chapter)