White armor

Chapter 211 All responsibility lies with Chen Yong

Luo Hao came to India. Based on the experience last time, the medical team had no battle losses.

Technician No. 66 complained a little about not being able to eat local delicacies and not having the chance to go out for fun, but Chen Yong didn't say a word of nonsense either.

What happened when he ate fruit last time left Chen Yong with lingering fears.

Everything goes well, Luo Hao is getting closer and closer to completing the task.

someday.

"It's not about the surgery." Chen Yong said in a muffled voice after the physical examination.

Since arriving in India, Chen Yong has to wear a three-layer mask no matter how hot the weather is.

Luo Hao couldn't figure out whether it was because he got sick after eating fruit last time, or whether it was because even the exhaust pipes in India were not safe, so Chen Yong took evasive measures.

The old man opposite knelt down, worshiped in a weird posture, and seemed to want to kiss Chen Yong's feet.

Chen Yong conducted a careful physical examination and found no other problems, but symptoms such as coma and convulsions had nothing to do with interventional surgery for liver cancer.

Saying that, Chen Yong was a little confused, "Strong to death is different from hypophosphatemia."

"Surgery is too rough. If you are a medical oncologist, you may have seen many similar patients, but few people know about refeeding syndrome." (Note)
"Refeeding syndrome is likely to occur in patients with severe malnutrition, especially those who have lost more than 10% of their body weight within a few months; in patients who have been hungry for a long time, generally for more than 7 to 0 days, the risk of refeeding syndrome will also increase with time. increase."

Stable, warm, and peaceful.

"I remember, my master took over an old patient who was sent to our Fourth Field position by people inside when Chun Chang was besieging the city. She said that many starving people ate three or four big steamed buns and then died of starvation. ”

A few minutes later, Chen Yong felt inexplicably helpless.

"What's wrong with her?" Luo Hao's voice came.

"These include neurological, respiratory, circulatory, neuromuscular and hematological complications."

Chen Yong communicates with patients’ families.

"She usually eats very little. You see how skinny she is. She must be in a state of hunger all the time." Luo Hao explained to Chen Yong while performing the operation, "I still remember that before liberation, the poor were hungry and would starve to death after eating a full meal. Let’s do it.”

"This disease is called refeeding syndrome."

“After long-term starvation or malnutrition, the body re-ingests nutrients and suffers from electrolyte metabolism disorder characterized by hypophosphatemia and a series of resulting syndromes.”

The performance of hepatic coma is not like this. Although Chen Yong has not seen many serious patients with hepatic coma, he has a judgment.

The patient had the surgery the day before yesterday and was observed for 6 hours after the operation and went home.

After Luo Hao finished giving the medical orders, he saw staff sending the surgical patient out. The nurse brought another person in, turned around and went back to the operating room to tear off the sterile gown, wipe his hands, put on his clothes, and start the next operation.

The conditions for this phase 4 clinical operation are much better than last time. Southern MicroPort has spent a lot of money to come in.

"Let me take a look." Luo Hao walked to the patient, and the diagnostic assistant AI quickly rotated and gave a diagnosis.

"Burger et al. proposed and defined this syndrome as early as 1948, but for many years, there is still a lack of understanding of refeeding syndrome in clinical work, especially in surgery."

The surgery is done and the class is over.

"This is not a joke. Don't say that in the future. It's unprofessional and makes people laugh." Luo Hao tilted his head seriously, looked at Chen Yong and warned, "It doesn't matter whether you are laughing at you or me. Don't laugh at my Xiehe family. The doctoral students trained are parallel imports.”

This is simply a holy place for completing quests.

Hey!
Even if he can show off on this broken road, Luo Hao is already terminally ill and there is no hope of help.

The patient's family members had no other choice and came to beg for help.

Although the dsa machine is rented, other equipment and related personnel are fully equipped, which saves Luo Hao a lot of worry.

But early this morning, the patient fell into coma, convulsed all over his body, and was about to die.

The patient ate a lot of food after the surgery to celebrate the surgery.

It is said that the operation was done quite well. Although Chen Yong performed it independently, he felt that the operation was perfect and impeccable.

"Hypophosphatemia, first draw blood for testing. If the serum phosphorus value is low, give 20 ml of sodium glycerophosphate and 25 ml of 10% magnesium sulfate intravenously, once/day. Vitamin B1 mg, fat-soluble and water-soluble vitamins each 140 intravenous infusions, once a day.”

"Chen Yong, ask the patient what he ate when he got home."

He is extremely gifted in languages ​​and speaks curry-flavored English at his fingertips. He is even more local than the locals.

While Luo Hao was performing the operation, he explained to Chen Yong what refeeding syndrome was without thinking.

"..."

Jumping in the physical sense, far away from the patient's family, Chen Yong jumped to the side and behind.

"Luo Hao, one of the patients the day before yesterday said that he could not survive this morning." Chen Yong shrugged, "I took a look and it seems to have nothing to do with the surgery. My family said that I was going to go back and wait until I die."

Luo Hao has not been in India for a long time, but he has completed a series of tasks and even upgraded his diagnostic assistant AI.

"???" Chen Yong had a question mark on his face.

This action startled Chen Yong.

"Luo Hao, what's going on?" Chen Yong humbly asked for advice.

But Luo Hao has experienced the last phase 4 clinical trial and is extremely satisfied with it.

After Chen Yong finished handling the patient, he was not in a hurry to perform the next operation. Instead, he found an opportunity to kick open the door of the operating room and enter the operating room.

Maybe in China these are basic conditions, even a little rudimentary.

"Well, there is one post-operative precaution for patients, which is to tell them not to overeat. That's what it means." Luo Hao thought about it, "Chen Yong, do you want to clarify the details?"

"How many kilograms of weight are prescribed for patients to eat? It would be better if it were in China. It would be so troublesome to tell the patients' families to go home and drink millet porridge for a few days."

"Yes."

Chen Yong's three-layer mask moved, but he did not refute.

Although Indians... ahem, they are still human beings, so they still have to be careful.

"Then let me go and think about it. Is there any relevant information?"

"You go ahead and do the surgery. I'll do it when you go back to rest tonight." Luo Hao said.

"Luo Hao, it seems that the amount of surgery is almost done. The people at Southern Minimally Invasive Surgery seem to want to withdraw."

"Oh, it's okay. I'll go back and talk to their boss today. The surgery is not close yet. I need to hold on for a few more days."

"How many do you want to do?!" Chen Yong was surprised.

Although he has no complaints and the conditions here are much better than when he came last time, Chen Yong is still eager to return home.

"Pray for blessings, pray for blessings! You haven't upgraded yet, how can you give up halfway? If you really go home, where will you find so many patients!" Luo Hao seriously passed the responsibility to Chen Yong.

All the responsibility lies with Chen Yong.

Chen Yong was a little embarrassed, "I don't know when I can jump to the next level."

"Don't worry. At most, there is no surgery fee. We are not short of that little money. Merits are important, and so are prayers."

"Huh? You don't sound like a materialist who came out of nine years of compulsory education."

"Talent, hard work, and luck are all indispensable, but the most important thing is luck." Luo Hao waved his hand and asked someone to send the patient out. "This is what Boss Chai told me. It just so happens that you can still pray for blessings. This time we Not in a hurry."

"What if it doesn't work? I'm not sure it will be upgraded." Chen Yong was a little worried.

He felt that his small shoulders could not carry such a big pot.

"It's always good to accumulate. Who knows when it will be possible."

Luo Hao glanced at the system tasks and saw that there were still more than 5000 surgeries left before the "maximum capacity" of 3000 surgeries.

Although Fan Dongkai, Yuan Xiaoli, and Cui Mingyu worked hard, the amount of tasks given by the system was too large.

In the end, I took most of it myself.

Luo Hao is not in a hurry. After completing the surgery this time, he will not need to come to India again in the short term.

And time is also limited.

The interval between Chen Jiao's surgeries is 5-6 weeks, which also requires You Qing's "delay" time.

Take the time to have the surgery.

But there is still good news - there are as many patients as there are!
Luo Hao once again refreshed his knowledge. He felt that India has a population of at least 25 billion...

……

……

Fan Dongkai's eyebrows turned into the character "丿" and he looked at the numbers on the computer silently.

"You see!" Fan Dongkai was a little angry, but he was already out of anger. "To do Phase 4 clinical trials, we absolutely cannot rely on Indians. Why did Musk kick out all the Indians? What else can they do besides bragging!"

The "old white man" opposite Fan Dongkai was silent.

After a long time, the old white man asked, "Dr. Fan, does Dr. Luo have any objections to this?"

"Opinions? He doesn't care about Boko at all." Fan Dongkai explained the truth in one sentence, "What he cares about is the amount of surgery. All surgeries are grindstones. Whether they are performed for Nanfang Minimally Invasive Surgery or Boko, for Dr. Luo It doesn’t matter.”

"What he wants is the amount of surgery! The amount of surgery! No need to write medical records, no need to worry about postoperative complications, just endless surgeries to sharpen the knife!" Fan Dongkai was a little excited.

He didn't even realize that his envy for Luo Hao was beyond words.

When Fan Dongkai was young, he was not so lucky to find a treasure land like India for killing monsters and upgrading.

The old white man continued to be silent.

"And I heard that he even took the initiative to ask for a reduction in the surgery fee." Fan Dongkai's eyebrows flew up to express his emotions.

"Doctor Fan, go ahead." The old white man smiled, "You know what Dr. Luo needs."

"We have wasted too long, 3 years! 3 years!!"

Fan Dongkai became particularly angry when he mentioned this.

That group of Indians seems to reproduce itself. As long as there is an Indian in the company, all departments will soon be occupied by Indians.

However, the consumables Changshou has been unable to pass FDA certification, this group of Indians are not in a hurry.

To Fan Dongkai, they are just a bunch of moths!
"Doctor Luo is at the age where he needs honors. How about being a foreign academician of the Royal Netherlands Academy of Arts and Sciences?" asked the old white man.

Fan Dongkai was startled, "Does it make sense to have foreign academicians who can be bought with money?"

"Of course it makes sense." The old white man smiled. "The Royal Netherlands Academy of Arts and Sciences, the Royal Spanish Academy of Sciences, the Hungarian Academy of Sciences, Italy, Norway, and Denmark, these are not difficult."

Fan Dongkai's heart moved.

The old white man in front of him knew the situation in the country very well, and it was just when Luo Hao needed honor.

Although as time goes by, these so-called Royal Academy of Sciences have degenerated, and some scammers have even spent money to buy the names of foreign academicians to defraud, which is quite slandered in the industry.

But after all, it is a famous name, and it has not been completely discredited like the British Shui Shuo.

"Sweden, Britain, and the United States." Fan Dongkai said seriously.

"These three companies have to wait." The old white man did not explain much. …

……

Fan Dongkai set off immediately.

He couldn't stand those Indians and wanted to find Luo Hao to teach them a lesson.

Although Fan Dongkai knows very well that even if the facts are placed in front of the Indians, they will not admit it and will most likely just talk about it to cover up the matter.

But he was more interested in the fact that Boko came forward to "sponsor" Luo Hao as a foreign academician of the Royal Netherlands Academy of Sciences and Arts.

Having more similar honorary titles will help Luo Hao become an academician of the Academy of Engineering or the Academy of Sciences in the future.

During his contacts in China and India, Fan Dongkai had a deep affection for Luo Hao.

The key is that every time he sees Luo Hao, Fan Dongkai's mouth smells like a chive box, which is the taste of home.

There was no direct conflict of interest between Fan Dongkai and Luo Hao. He also wanted to leave a good relationship, so he flew directly to India.

The southern minimally invasive phase 4 clinical base is not far from Brocade's base, but it is much more formal.

Fan Dongkai knew very well that this had nothing to do with Boko itself, but that the Indians who occupied the middle and senior levels of Boko did not work at all.

In fact, sometimes Fan Dongkai really envies those Indians.

It would be great if overseas Chinese could be as united as Indians. Unity is strength, even the mud of the Indians can hold up the wall. This is true.

Entering the operating room, Fan Dongkai was wearing white clothes and looked like an old professor.

He came to the operation room silently.

"Professor Luo, you said that root bathing really can't be done in provincial capitals?"

A familiar voice came into Fan Dongkai's ears.

"Stop dreaming, I guess the root bath in Nanyun Province will be swept away soon." Luo Hao's voice came out.

Root bath? What the hell is that!

Fan Dongkai walked into the operation room, and the figure of technician No. 66 appeared in front of him.

It was obvious that Luo Hao was fully prepared this time, even bringing the technician with him. No wonder the operation was done so quickly, Fan Dongkai thought to himself.

"Teacher Fan!" Technician No. 66 turned around and unexpectedly saw Fan Dongkai. He quickly stood up.

"Sit down, you go about your business, I'll come and take a look at the operation."

"Old Fan? When did you come?" Luo Hao saw Fan Dongkai through the simple leaded glass.

"Professor Luo, you are busy. We will wait until you finish the operation." Fan Dongkai was a little embarrassed.

When he saw Luo Hao, his mouth tasted like a leek box, but Fan Dongkai also thought about the bet about the medical team.

"Professor Fan, take a seat." Technician No. 66 gave his seat to Fan Dongkai.

Fan Dongkai was not polite and sat down to watch Luo Hao's surgery carefully.

Watching the operation live is more intuitive than sitting in the office and looking at boring numbers. After watching it for less than 3 minutes, Fan Dongkai realized one thing - Luo Hao's technical level had changed by leaps and bounds.

Really young people, it is so easy to achieve leapfrog growth in technical level, Fan Dongkai thought to himself.

After watching for a few more minutes, Fan Dongkai stood up after Luo Hao easily completed an operation.

The lead door was opened by Technician No. 66, and Luo Hao walked out.

"Lao Fan, why did you come to India? You called me the day before yesterday. I thought you were just asking about the situation here."

Fan Dongkai looked at the heroic Luo Hao, his eyebrows raised.

The surgical patients are like being put on an assembly line. The patient is carried down and compressions are performed in the corridor, and the next patient is brought up.

Southern MicroPort has equipped Luo Hao with nurses, and the overall conditions are much better than last time.

Luo Hao chatted with Fan Dongkai while reading the films, and then entered the operating room to start the next operation.

Fan Dongkai no longer focused on surgery.

He knew that he would never be able to seduce Luo Hao in his life, but he couldn't accept it, so he had to divert his attention.

"Lao Liu, what do you mean by root bathing just now?" Fan Dongkai asked.

Technician No. 66 had a smile on his face that every man could understand, and explained to Fan Dongkai in a low voice.

It turned out to be like this, Fan Dongkai suddenly realized.

"In the hospital?" Fan Dongkai was surprised.

"Private hospitals, privately run, I guess they are taking the wrong approach." Technician No. 66 said, sighing, "The country is too strict, and this kind of crooked way will not last long. If footbaths can really be covered by medical insurance, what will happen? good."

Fan Dongkai's unibrow trembled and he took out his mobile phone.

"Try this."

"???"

Technician No. 66 was startled and saw an unfamiliar app logo on Fan Dongkai’s phone.

"What is this, Professor Fan."

"Telegram." Fan Dongkai said with a smile, "You are so talkative, but in fact you don't know anything."

Technician No. 66’s face turned red.

"One time I went to New York and saw an amazing hairy girl on the subway." Fan Dongkai lowered his voice, "I just looked at her politely, don't think too much about it."

"Yes, yes, I understand. Professor Fan doesn't need to explain. What next?"

"She opened the telegram and entered a car repair group."

"Ah!" Technician No. 66 looked envious.

For Technician No. 66, the semi-unfamiliar term "car repair group" is as if it has been integrated into his blood.

"The telegram has its own unique function. It is more appropriate to use our Chinese language to say that it will burn after reading. The other party cannot take screenshots, so it is very practical to send some photos or the like." Fan Dongkai's voice became quieter as he spoke, becoming more mysterious and sneaky. .

"Professor Fan." Technician No. 66 swallowed hard, "You..."

"I just said it casually~" Fan Dongkai laughed and put away his phone.

Technician No. 66 worked hard to write down the logo on Fan Dongkai's mobile phone, preparing to try it when he has time.

"It's a joke to get into medical insurance for these nonsense, but they happen everywhere." Fan Dongkai said with a smile.

His unibrow is smiling.

"What's the gossip?" Technician No. 66 stopped watching the surgery and concentrated on listening to the gossip.

Coming to India is like going to prison.

Normally, there should be travel abroad and exposure to various customs and snacks, but Luo Hao's life is as boring as an ascetic, and Technician No. 66 has already been miserable.

But he didn't dare to complain in front of Luo Hao. After all, Luo Hao was generous. Working here for one month was equivalent to working for two years at home. How could Technician No. 66 give up this opportunity?

"Some time ago, I went to the consulting room." Fan Dongkai whispered, "I heard something moving inside, the indescribable voice of Cthulhu."

"and after?"

"I took a look and saw a section of white skin. The viewing angle was not good and I couldn't see everything. I wanted to leave at that time, and I viciously listed all the possible candidates in my heart, waiting to give them a good look."

"But... you are curious after all, you know."

Technician No. 66 nodded repeatedly. If it were him, he would definitely stay and take a look. He understood Professor Fan Dongkaifan's psychology very well.

"Finally, Cthulhu inside changed his position and I saw it was the professor next door and his students. Damn, if you're not in your own clinic, come to my clinic."

"!!!"

"The key is!" Fan Dongkai's unibrow raised, "They are both men."

"Holy shit! Professor Fan, Gouzi literature has become very popular recently! I read a novel that said that there was a relationship between the gun man who assassinated Beian and Beian, and that love led to hatred."

"Isn't this a corrupt article?" Fan Dongkai asked.

"No, no, no, fuwen is the kind of fujoshis like, pure love. But this kind of hook literature..."

"Stop chatting, play back this episode for me." Luo Hao's voice came from the intercom.

The intercom is very rudimentary, not provided with the machine, but a real intercom.

Luo Hao's side was taped to a certain position and kept open.

Fan Dongkai looked a little embarrassed when he realized all this. So what he just said was heard by Luo Hao? !

If the persona collapses, is this considered a collapse of the house? Fan Dongkai scratched his head.

"Luo Hao, I read that you perform dozens of surgeries a day, aren't you tired?" Fan Dongkai asked Luo Hao trying to stay calm.

"Tired." Luo Hao said while looking at the image, "I'm as tired as that person in Toushan who gave birth to nine daughters in succession in order to have a boy, and finally gave birth to a gay son in the last one."

"..."

"Lao Fan, you are finally here. I will open the third operating room and help with the operation."

"I'm here to see you for something." Fan Dongkai explained blankly.

"Nothing is more important than surgery. Do you still want to improve your technical level? Are you willing to wallow in the mud with the Indians for the rest of your life? Being dragged down by idiots and defeated by their rich experience?"

"Okay, I'll give the medicine." Luo Hao seemed to be talking without thinking. He spoke to Fan Dongkai first, and then immediately spoke to technician No. 66.

"Immediately." Technician No. 66 felt a bit of resentment in Luo Hao's tone, and immediately calmed down, forgetting about foot baths in medical insurance, telegraph, car repair groups, etc., and started working.

After an operation was completed, Fan Dongkai was directly stuffed into the third operating room by Luo Hao in the name of the leader of the medical team.

Fan Dongkai almost cried.

He never expected that Luo Hao would actually exercise his authority as the leader of the medical team and force himself to undergo surgery.

Oh shit!

Fan Dongkai cursed in his heart if he had known that he would not have helped Luo Hao contact the foreign academicians of the Royal Netherlands Academy of Sciences.

……

……

Note: More than 10 years ago, I encountered a similar situation in a patient who had a lower jejunal feeding tube and was able to exert full force.

After researching information for a long time, I learned about the disease refeeding syndrome.

I really don’t know. There are so many types of diseases, and I increasingly feel that in order to get good treatment, both doctors and patients need luck.

(End of this chapter)