White armor

Chapter 414: Daddy

"The pharynx is congested and there is a white membrane. The cervical lymph nodes are slightly swollen. A blood test is needed." Luo Hao touched Zhao Lili's neck and said lightly.

"Professor Luo, what do you think of me?"

"You've been single since birth, and you just got a boyfriend recently?" Luo Hao suddenly asked a strange question.

"Ah~~~" Zhao Lili's face turned red all of a sudden, and she almost jumped up.

He was visibly shy, his neck was red, like a cooked shrimp.

Why did Luo Hao ask this? Feng Zixuan was a little surprised.

"Is that so?" Luo Hao asked.

"Yes, Professor Luo, how did you know?"

Chen Jiao looked at Zhao Lili in surprise, "Xiao Li, you have a boyfriend? Why didn't you tell us?"

"I...I...I want to wait a while." Zhao Lili lowered her head with shyness on her face.

"Professor Luo, does this have anything to do with abnormal liver function?" Chen Jiao then looked at Luo Hao and asked.

She contacted Luo Hao quite frequently and could roughly guess that her boyfriend had something to do with his abnormal liver function.

Does it mean that being in love will increase liver fire and cause abnormal liver function?
"Look, what is this called?" Luo Hao asked, pointing at the skin on Zhao Lili's neck.

There was a red rash there.

This doesn’t mean anything.

"Is this a mite-like rash?" Feng Zixuan asked in a low voice, unsure.

"Director Feng is really experienced." Luo Hao praised, "Here, this is a mite-like rash. Chen Jiao, take a picture and take a good look at it when you go back."

Chen Jiao took out her cell phone in a daze and took a picture of the rash on Zhao Lili's neck.

"Professor Luo, is it because it rains a lot in autumn recently and it's too humid?" Zhao Lili asked.

"Do you know why I saw the mite-like rash and touched the lymph nodes in your neck and knew that you just got a boyfriend?"

"???"

"???"

"???"

"You have a typical kissing disease." Luo Hao explained.

"!!!"

"!!!"

"!!!"

Feng Zixuan was as confused as the medical student. He could see the mite-like rash, but he had no idea what kissing disease was.

"In short, the preliminary diagnosis is infectious mononucleosis. Your symptoms are quite typical."

“Symptoms of typical infectious mononucleosis include high fever, sore throat, swollen lymph nodes, general malaise, fatigue and feeling tired.

Patients may develop a mite-like rash and an enlarged spleen. This type of infectious mononucleosis usually lasts 2-4 weeks, but in some cases it may last longer.”

"Because it is a self-limiting disease, and the main mode of transmission is kissing, it is also called the kissing disease. Love, being high, and feeling weak all over are all the stalks often used in novels. In fact, they are all typical infectious mononucleosis."

Luo Hao explained.

Uh……

There is such a disease? Is it serious?

Even Feng Zixuan had this thought in his mind.

"But it's not common. Children under 6 years old usually have latent or mild symptoms, while those over 1 years old usually have typical symptoms.

Once you get the disease, you get lasting immunity.”

"Do you have a pen..." Luo Hao said, shook his head, took out his mobile phone, clicked on Chen Jiao's conversation, and started typing.

"Go to the clinic and do these tests. When you have the results, just let me know on WeChat. The treatment is not difficult. It is a self-limiting disease, but I don't want you to not even understand this."

"Yes, yes, Professor Luo." Zhao Lili quickly replied with her head down.

Actually, this matter... Feng Zixuan doesn’t think it is the fault of the two medical students.

The medical student named Zhao Lili came to the hospital for treatment, but the doctor who saw her didn't give her a correct diagnosis.

All of these are acting skills, which are intended to correct Chen Jiao's psychological state and turn a suspected "discriminatory" attitude into a medical problem.

Very good, Professor Luo is very considerate.

Feng Zixuan smiled and thought to himself.

"Xiao Luo, if everything is fine, I'll leave." Feng Zixuan didn't stay long.

After watching Feng Zixuan leave, Luo Hao chatted with Chen Jiao for a few more words, confirmed the follow-up examination time again, and then went back to change clothes.

After going downstairs, Luo Hao had a quick bite and returned to the office.

"Lao Meng, Xiao Zhuang, are you busy?"

"Not busy, it's time to organize study." A smile appeared on Meng Liangren's honest face.

The resident boss was disdainful, who could like studying?

Old Meng is really good at pretending, it seems like the real thing.

"Let's start, Chen Yong, sit down."

Chen Yong put his cell phone in his pocket and sat still.

I don't know what Meng Liangren is like, but Chen Yong really doesn't want to learn. But he is not stupid, and he knows that it is best not to disobey Luo Hao's wishes in this matter.

Chen Yong knew clearly what could be done and what could not be done.

The robot panda rustled over, opened the storage box on its back, and Luo Hao began to lecture.

The content discussed has nothing to do with the common diseases in the interventional department, and most of the content is still about kissing diseases.

More than an hour later, Luo Hao explained the lecture, then quietly sat down at the window opposite the door and took out his mobile phone to look through the paper.

The robot panda just sat quietly beside Luo Hao, as obedient as a bamboo.

When it was time to get off work, Luo Hao checked the rooms and he and Chen Yong left work on time.

Meng Liangren and Zhuang Yan seemed to have no idea what it meant to get off work, and went back to their computers to continue doing their written work.

"Lao Meng, why does Professor Luo organize you to study every day?"

"Not every day, but occasionally, only two or three times a week." Meng Liangren answered truthfully.

"Tsk, what's the difference between that and everyday life?" The resident manager came up to Meng Liangren with a smile, "Are you angry but dare not speak out? I'm so upset. Professor Luo is too good of a teacher."

"No way, I really like Professor Luo's lectures." Meng Liangren responded with a gentle smile.

"Don't talk nonsense, Professor Luo is gone." The resident chief smiled and came close to Meng Liangren, "Old Meng, tell me the truth, don't be so tense all day long."

Meng Liangren glanced at him. This guy is still too young. Even if he has an opinion, can he speak it out in public?
Everyone has his own secrets, and there are only a few that can be shared with others.

It seems that the reason why he came to the First Hospital of Medical University, a top hospital in the province, right after graduating from graduate school is that he did not have enough social experience.

This kind of person, if thrown into an infectious disease hospital, won't even have any bones left after two or three years.

That’s great. If it wasn’t necessary, who would be willing to go to an infectious disease hospital to be “trained”?

"Boss, I really admire Professor Luo. Really, look into my eyes."

The hospital manager responded with a look of disdain.

The two of them looked like emoticons, and Zhuang Yan laughed out loud.

"Can you not be funny?"

"I'm telling the truth! You see, my research was done by Professor Luo, otherwise I don't know what I would do in the future. But Professor Luo is so willing to teach. He does surgery in the morning and teaches students at the Medical University in the afternoon. If he doesn't have classes, he will teach you."

"To use the words of today's young people, this is called full of dad flavor."

"Boss, don't say that." Meng Liangren pondered, then said seriously, "To be full of daddy flavor means to make empty promises, to say things casually, and to act like a dad. In a normal family, parents who only make empty promises but don't do anything are now considered to have a bad family background."

"Yes, yes." Zhuang Yan shook her high ponytail, "Brother, what you said is all useful information. Let me tell you, did you know about kissing disease before?"

"We're in the interventional department, so we don't need to know." The CEO couldn't resist any more and finally gave up. "What are you two going to eat tonight? It's my turn to order dinner today."

Meng Liangren paused, as if he remembered something, and looked at the inpatient manager.

"Boss, was it you who performed the surgery on the middle bed in No. 3?"

"Yes, the operation went smoothly." The resident manager was a little proud. The patient's liver tumor had four supply arteries, and he had found them all.

This is not easy for a doctor of his level.

Lao Meng, that’s fine!
He even flatters his own people. This emotional value is too damn high.

The hospital manager gave him a look of approval, and it was a really good feeling. For a moment, he felt like he was floating.

"Meng, how did you know that?" The hospital manager asked with a smile, "Did you hear it from Xiao Yang?"

Xiao Yang is the intern who will be on stage with us today. He is about to leave the department. He is usually diligent and hardworking, so the boss asked him to go on stage with us and perform an operation.

"Emmm." Meng Liangren murmured.

The hospital manager was a little unhappy. Why was it that Old Meng was so smooth when he flattered Professor Luo, but was hesitant when he flattered himself?

I still can’t let go, the hospital manager thought to himself.

“I heard from the patient.”

"!!!" The hospital manager was surprised.

It is a bit unreasonable for a patient to know that the surgery was done well.

"The patient said that he felt a little pain at first. We heard it when we were making rounds with Professor Luo just now. Professor Luo asked me to keep an eye on the patient."

"Uh……"

The hospitalized boss was stunned.

This patient is too troublesome. He even complained to Professor Luo. It's too much.

Meng Liangren also noticed that the resident's face was not right, so he quickly explained, "I guess Professor Luo knew that Xiao Yang was out of the department today. Considering that Xiao Yang is usually quite capable, you must have let him puncture and place an arterial sheath. Send in part of the guidewire to give him some experience."

"Yes, Xiao Yang did a good job. He made a mistake the first time he punctured the femoral artery, but succeeded the second time."

The hospital manager suddenly remembered something. He almost leaned close to Meng Liangren's ear and whispered, "Meng, did you learn fortune-telling from Doctor Chen? Did you predict anything?"

"Oh, what's going on here?" Although Meng Liangren didn't react as strongly as Chen Yong, he was not used to talking so closely. He slid his chair away a little and looked at the hospital manager, "Just be careful, you understand."

"I understand, I understand. So, what did you calculate, Old Meng?" The hospital manager was a little nervous.

"..." Meng Liangren was speechless.

"I saw you asked Doctor Chen. I heard he's quite famous in the metaphysical world. I usually don't dare to talk to him, for fear of causing trouble. We may not believe in him, but we can't disrespect him." "Hahaha." Zhuang Yan laughed, "It's not that mysterious."

"Yes, this is a hospital." said Meng Liangren.

"One day I heard Doctor Chen chatting about a nurse from the next department coming to ask him something."

"What do you want to ask?" Zhuang Yan was curious.

"It is said that the nurse's brother is going abroad to study for a master's degree in the UK. You said that studying for a master's degree in the UK is so unreliable. Doctor Chen said that a junior college can get a master's degree for 20 yuan a year."

"If they want to go, then let them go. Going abroad and being starved to death can be considered as losing weight." Meng Liangren smiled and said honestly.

"What did they talk about?" Zhuang Yan asked, staring at the main line.

"Nurse... I guess he wanted to talk to Doctor Chen more, so he kept chatting. You said that being good-looking really gave him the best of both worlds. Lao Liu always said that if he was half as good-looking as Xiao Chen, he would have been a dried corpse long ago."

"Became a human being?"

The resident manager took one look at Zhuang Yan, felt that it was not a good idea, and did not make any dirty jokes.

"The nurse asked why you came back from England. Aren't you a great magician bestowed by the royal family?"

"Brother Yong is so greedy that he is crying. He refuses to go abroad no matter what."

"Ha, that's not what Doctor Chen said at the time. He said the hexagrams showed that things were going well for China. He also said that five stars were coming out of the east, which was good for China."

"Damn, you really believe in prophecies." Meng Liangren was helpless.

"Xiao Chen's story is very detailed. He said that the leader of the scientific expedition team was Qi Dongfang. He felt hesitant when he entered the ancient tomb, so he went in holding the national flag. When he found out about the prophecy, he didn't dare to report it, for fear that he would be suspected of offering auspiciousness or something like that.

It is said that Cthulhu can receive blessings by offering auspicious things as sacrifices, is that right?"

The inpatient manager's thoughts were very erratic and his speech was chaotic.

"No, Xiao Chen was lying to the girl. You can't deny that Xiao Chen has high emotional intelligence in front of the girl." Meng Liangren said in a firm tone.

"That's right. When I talk to girls, I don't know what to start with. But when any girl talks to Xiao Chen, they all laugh out loud. You can't tell that she's slow to warm up at all." The hospital manager sighed.

"Not recently. Brother Yong has been writing a paper every day and is very focused on it." Zhuang Yan defended Chen Yong.

The resident manager took a deep look at Zhuang Yan, with an expression that said, "See, that's what I said."

"Meng, tell me about this. I saw Xiao Chen always counted before surgery. When I asked him, he said no and just moved his fingers. But once a patient was allergic to Liposuction, he brought fat emulsion in advance."

The hospital manager firmly believes this.

"That's science. The patient has a history of allergies, so it's nothing if Xiao Chen is more prepared." Meng Liangren defended Chen Yong.

“Then tell me, why did Professor Xiao Luo ask you to keep an eye on my post-operative patients?” The resident manager was not convinced.

"Well, Professor Luo gave a lecture once. I don't know if you heard it. It was about the various situations in which blood clots are prone to occur after surgery." Meng Liangren had no choice but to say directly, "Weilxiao Triangle."

"The Virchow Triangle?"

The hospitalized boss obviously had no memory.

"Virchow's Triad, proposed by German pathologist Rudolf Virchow, is the basis for understanding thrombosis, including: vascular wall damage, blood stasis and hypercoagulable state of blood."

Zhuang Yan added.

The hospital manager was disdainful, "Puncture itself is a kind of damage to the blood vessel wall. Sandbags have been used to stop bleeding after surgery for decades, and I have never seen any postoperative thrombosis."

"Actually, it's best to keep an eye on it." Meng Liangren said, "Femoral artery puncture and intravascular instrument operation will inevitably cause damage to the vascular endothelium, thereby activating the coagulation system."

"I'm not saying that puncturing twice will cause blood clots. It has nothing to do with Xiao Yang. I like that child very much."

The resident doctor found Meng Liangren's chatter interesting.

Lao Meng is the chief physician of an infectious disease hospital.

Everyone knew the quality of the doctors over there, but after working in the same group with Professor Luo, they started to teach themselves a lesson.

This is really against Tiangang. Does he have any idea at all?

However, in the past six months, Lao Meng has treated the hospital as his home and they chat every day. The resident always thinks that Lao Meng is a nice person.

Maybe he learned it from Professor Luo, he is rather long-winded and very fatherly.

"What else?" The resident manager did not refute Meng Liangren, but asked with interest.

"The patient had a stroke before and had been taking oral anticoagulants before the operation. I just checked the medical records and found that he had stopped taking anticoagulants for three days."

"The probability of blood clots is higher at this time, so you need to pay more attention. However..."

Meng Liangren paused as he spoke.

"But what?"

"I've seen similar situations before. Professor Luo didn't give detailed instructions, but your patient... is not right!" Meng Liangren suddenly opened his eyes. "The patient had been sleeping the whole time. When we were making rounds, the patient's family asked him a question. He turned over, but was bent back."

It is common for patients to be prevented from turning over by their family members because of the sandbag on the femoral artery.

"Bending back" is just a way of saying it means that the patient's family members hold him down and keep him in a lying position.

"Mr. Meng, you think too much. Lying flat is uncomfortable. Everyone feels the same." The resident manager laughed.

He only dared to mention Meng Liangren, not Luo Hao.

After all, the promotion content was mainly handled by Luo Hao, and the hospital manager would not do such an unscrupulous thing.

But he also didn't agree that this patient would have problems.

"It's okay, you order the food first, I'll go take a look." Meng Liangren stood up.

"Meng, what do you want to eat?"

"Let's have Kung Pao Chicken." Meng Liangren said and walked out slowly.

Zhuang Yan did not follow. She was staring in deep thought, repeatedly recalling what Luo Hao had said about the Weixiao triangle and the condition of the patient in front of her.

"Xiao Zhuang, what about you?" asked the resident manager.

"I think there is still a problem. Boss, do you think the patient's condition can be described as drowsiness? Yes, it should be a drowsiness state."

Sleepiness?

The hospitalized boss was startled.

"Impossible." He immediately laughed and said, "But anyway, since Professor Luo has said so, I'll go take a look. It's exactly six hours, so I'll take the sandbag down."

In fact, the patient's family knew the time, and the sandbag was just a term. When interventional surgery was first performed in China, everyone used sandbags, but now they are replaced by two 500g salt bags.

The boss stood up, he was a little suspicious.

Professor Luo usually doesn't have so many things to do and doesn't extend his hand to take care of patients in other groups.

There must be something wrong with the abnormality, maybe...

Just thinking of this, the inpatient manager suddenly heard a noise coming from outside the door.

Finished!

His heart sank to his heels.

Could it be that what Professor Luo said really means that something happened to the patient?

Walking out of the door quickly, the resident manager saw Meng Liangren running straight towards the ward.

An ominous feeling loomed over my body.

Rushing to the ward, the hospital manager saw the patient lying on the ground, his head hit on the corner of the table, bleeding profusely.

"What's going on!" the resident asked in a trembling voice.

This is terrible. If the patient falls off the bed and suffers a cerebral hemorrhage, he will have to bear the consequences.

The last time a similar situation occurred, the hospital manager was scolded by Director Feng and ended up working in the Dispute Office of the Medical Department for two months.

What is this? This is called being exiled to Ningguta.

I hope I won't be exiled to Ningguta. No normal person would be willing to get involved in medical disputes. The hospital manager was panicking and had countless thoughts in his mind.

"Xiao Zhuang, call Professor Luo." Meng Liangren said as he checked the patient's heart rate.

Zhuang Yan's cell phone has already dialed Luo Hao's number.

"The patient removed the sandbag and got down to the ground. He suddenly had difficulty breathing and lost consciousness. His blood pressure is now 90/54 mmHg, his pulse is 115 beats/minute, his respiratory rate is 35 times/minute, and his peripheral blood oxygen saturation is 89%."

"Both pupils are sensitive to light, so cerebral hemorrhage is not a concern for now."

Meng Liangren and Zhuang Yan showed good cooperation in "calling people". With one examination and one report, they quickly made the patient's current condition clear.

"Good good."

"Please repeat it." Luo Hao's voice came from the phone.

The hospital manager felt more at ease when he heard the familiar voice than Shen Zizai's voice.

In fact, in this situation, we need to ask Shen Zizai and call Yuan Xiaoli for emergency treatment.

But there seemed to be nothing wrong with what Meng Liangren and Zhuang Yan did. At least the hospital manager did not want to see Yuan Xiaoli or Shen Zizai at this time.

"Check the bedside ECG and ultrasound, pay attention to the pulmonary artery pressure. If the pulmonary artery pressure is lower than 60hhmg, check the head CT to determine whether there is bleeding..."

Zhuang Yan began to repeat the treatment plan that Luo Hao had just mentioned.

This kind of emergency rescue is not like heavy bleeding, where tubes of medicine are pushed into the body.

First, we need to confirm the diagnosis to see if it is pulmonary embolism. If so, we must also rule out cerebral hemorrhage.

Because thrombolytic therapy and hemostatic treatment for cerebral hemorrhage are contradictory, if thrombolytic therapy is performed without regard for the consequences, it is likely to cause more severe bleeding.

Sometimes treatments are like this, contradictory, and whether the patient can be saved depends on fate.

Several tests were completed quickly, and the patient's vital signs were stable. The hospital manager was already dumbfounded, but Meng Liangren bandaged the patient's head and asked the professor on duty in the Department of Circulatory Medicine to come for a consultation.

The coagulation results showed a significant increase in D-dimer, reaching 550g/dl. The follow-up cardiac ultrasound showed right ventricular dilation and pulmonary artery pressure increased from the normal state at admission to 50mmHg.

The patient was sent for a head CT scan under the care of doctors and nurses, and no bleeding was found for the time being.

“Come on stage.” The professor of cardiovascular medicine also found the situation difficult, but the diagnosis was clear - pulmonary embolism.

It was discovered relatively early. After all, it is convenient to do any examination in the hospital.

Pulmonary embolism!
Drowsiness!

The hospital manager was already stunned. He never expected that Professor Luo just took a casual look and asked him to be careful, but the patient really got into trouble.

How can I reason with this?

He kept chattering with a sad face, hoping that the patient was fine and could be discharged safely.

I am young and have a bright future. If I really fall into Feng Zixuan's hands, I will be skinned alive.

After explaining things to the patient's family, the patient was sent to the circulatory catheter room, and Luo Hao changed his clothes and walked in.

(End of this chapter)