White armor

Chapter 462 What? Noodles with gravy?
"It looks like it's Diphyllobothrium latifolium." Luo Hao explained, "It shouldn't be noodles soaked in formaldehyde."

"It seems so." Chen Yan has done research on this. He stared at the laparoscope screen with his appetite already aroused.

It's not that he was greedy, but he had already started simulating the surgery unintentionally and was preparing to go on stage.

"Director Chen, laparotomy?" Luo Hao asked.

"Xiao Luo, if you're not in a hurry to leave, just brush your hands and go together. This thing is simple to say, but if it's difficult..." Chen Yan didn't continue.

“What situations have you encountered?”

"I used laparoscopy to remove the tapeworm bit by bit, but there was a perforation. I was careless at the time and didn't find it. The tapeworm blocked the perforation, and after the operation...something went wrong, so I had to go back to the hospital for the second time."

"Now that we see this thing, let's just operate on it." Chen Yan said without hesitation.

If you still need to use a mirror for this kind of thing, the probability of something going wrong is too high.

Chen Yan was quite surprised to meet two patients who needed medication and surgery in one night.

But nothing could happen in the hospital, so he didn't think much about it, "Xiao Luo, wash your hands, together."

Luo Hao and Chen Yan went to wash their hands, and Feng Zixuan silently watched "Wide Noodles" on TV.

Is this thing Diphyllobothrium latifolium? Why does it look exactly like wide noodles? How can I go to the noodle shop across the street to eat noodles in the future?

No wonder Chen Yan rarely goes to the noodle shop across the street. This kind of thing actually happens.

I guess it's because the sight of it makes me feel sick, and when I eat noodles I think of the tapeworm, which looks like wide noodles.

"Director Feng, you are still here so late." The professor in charge of the team sent his doctors away and began to pull out the laparoscopic equipment, suture the incision, and open the abdomen.

The hospital manager ran out to explain things to the patient's family. Before leaving, he looked at his mobile phone. He probably took a photo just now to see if the photo was clear.

In this case, the patient's family will generally agree.

Who wouldn’t feel distressed when seeing such a large piece of “wide noodles” in the intestines, even blocking the intestines?

It is also appropriate to switch from laparoscopy to open surgery.

I guess the patient's family members were confused when they heard the doctor explain the patient's condition. What they were wondering was - do they, who were eating with him, also have worms in their stomachs?

"There is a patient, I came to see him." Feng Zixuan said lightly.

"What are these formaldehyde noodles you're talking about?" The professor in charge of the group started gossiping, following up on Feng Zixuan's words.

"Didn't you read the news a while ago?"

"I'm in the hospital every day, getting up early and going to bed late. I don't have time. I occasionally watch some short videos. I feel like I'm out of touch with society."

"Didn't Xiao Luo just say that we should add formalin to the noodles? Emmm, this may sound alarmist, but that's roughly what it means. It makes the noodles look fresh so they don't go bad and have to be thrown away."

"Fuck! How evil is this?!"

"There's nothing we can do. The food safety problem is there and no one cares." Feng Zixuan spread his hands.

"Director Feng, how much formaldehyde is added? I like eating noodles and I've never tasted it."

“I don’t know the details, but I’ve read in reports that although the formaldehyde content of such noodles is low, eating a small amount will not cause immediate discomfort.

However, if low doses of formaldehyde are ingested for a long time, it will cause chronic poisoning. In mild cases, respiratory tract lesions will occur, causing symptoms such as throat edema, eye pain, and headaches; in severe cases, it will lead to leukemia, colon cancer, nasopharyngeal cancer, and miscarriage in pregnant women. "

"!!!"

"!!!"

"It is said that ordinary noodles can be stored in the refrigerator for two or three days, but formaldehyde noodles can be stored at room temperature for a week without any problems. They are also very tough and can be boiled without getting mushy. They are also chewy."

"Good chewy noodles mean they contain formaldehyde?!" The anesthesiologist "distilled" Feng Zixuan's words and seemed to have changed the meaning.

But he believed it himself.

"Who knows? It's disgusting anyway." Feng Zixuan had no choice but to sigh, "Bad money drives out good money. Conscientious businesses have high costs and are gradually driven out of the market. In my opinion, it's better to eat less takeout."

As she was speaking, the circulating nurse's cell phone rang.

"Yes, put it outside." said the circulating nurse.

"Ordered takeout?"

"Hey, I'm on night shift, and I'm hungry. Let's have a midnight snack." The circulating nurse thought of the "lasagna" and her face didn't look very good. She spoke intermittently.

"In fact, formaldehyde may not be added." Luo Hao came back from washing his hands and began to spread out the sheets skillfully, chatting as he did so. "Nowadays, there are all self-media, and it is easy to be hit by boomerangs. No matter what the source of information is, it seems unreliable.

Another day, I will go to the noodle shop across the street and order a bowl of noodles, and then take it to the laboratory of the Agricultural University for testing. "

"Huh?!" Feng Zixuan was stunned.

"I ate like this when I was in school. I would test any delicious takeout. Half of them would have problems. Lao Cui looked down on me for being so careful and always ridiculed me. Later, I injured my foot from eating crayfish." Luo Hao said.

!!!

!!!

"I'm used to it." Luo Hao said with a smile, "The test is not troublesome."

"Are you... so extravagant?" Feng Zixuan felt envious.

"It's not a luxury. My junior fellow students from the Agricultural University or the Food Department can practice their skills and provide a source of clean takeout." Luo Hao smiled.

"How much?" asked the circulating nurse.

Although Luo Hao said that less than half of the takeout had problems, the circulating nurse still asked again.

"Not too many, but there are some. Old Cui's stupid... son, the stupid son of a landlord, is shy and won't ask for help."

Luo Hao had finished disinfecting while chatting and was standing in the assistant's position.

The professor in charge of the group was very polite and let him take the position of first assistant.

"It's probably from eating it raw." Chen Yan began to disinfect again, then stretched out his hand, "Why would you eat it raw if there's nothing wrong?"

"When I was at Xia Lao's place, I knew that eating our willow branches raw would definitely infect us with liver flukes."

"Hmm? No one eats willow twigs raw, right?"

"Some animals ate it, and then they got sick." Luo Hao explained, "When Mr. Xia first mentioned the small wheat fish, I didn't realize what the disease was. Later, when I saw the specimen, I found out it was actually willow twigs."

"Do you like it?" Feng Zixuan asked.

"My mother likes to cook it, either fried or stewed in sauce, both are delicious."

"Veterinarian, that's interesting too."

"The diseases they face are different from ours. On Elder Xia's side... By the way, I wonder if Director Feng and Director Chen have heard of this gossip."

"What gossip?"

"In 19 or 18, more than a dozen bigwigs in the imperial capital's medical circle went to Tokyo for a meeting. Within half a year after they came back, they all fell ill, two of them with liver abscesses."

"Is it related to nuclear waste water? Was it secretly discharged at that time? I said there is not a single good person in Japan!" the anesthesiologist shouted indignantly.

What does this have to do with anything? Luo Hao laughed and began to help Chen Yan pull open the skin and enter the abdomen layer by layer.

"No, no, no one knows the reason. But after research, it is said that it is related to eating sashimi. If you eat it raw, the content of parasites in seafood is very high." Luo Hao said.

"what?"

"Is this true? Aren't they saying that raw sea fish is clean?"

"Yeah, I eat sashimi from the sea, and so do the Japanese restaurants around here."

"The incidence of colon cancer in the book is almost the highest in the world, and it's because of eating raw fish." Luo Hao explained.

"!!!"

"!!!"

"They are researching colon cancer resection surgery, and they are also world leaders. Mr. Chai once went there to study."

"Speaking of bugs, when I first learned that salmon were artificially fed with sea urchins, my jaw almost dropped to my feet."

"At that time, people said that deep-sea salmon were clean, but in fact, deep-sea salmon are the main host of Anisakis. The cycle of this nematode is relatively complicated. It usually accumulates at the top of the food chain in the ocean, such as dolphins and sharks. After being excreted in feces, the worm eggs continue to look for the next unlucky host in the ocean."

No matter what the conversation is, Luo Hao can respond.

"Put fresh seafood under a microscope and take a look. I guarantee you won't want to eat a second bite."

"What can you see under the microscope?" the anesthesiologist asked.

"A lot of parasites are alive. It's okay to eat them once in a while, but if you eat them all year round, your intestines will probably be filled with parasites, and you'll probably get colon cancer."

But Chen Yan was no longer talking. He opened the peritoneum and reached in to take out a section of colon.

Chen Yan has a very good eye and Luo Hao admires him very much.

He did not hesitate at all. Others thought that the professor in charge was suturing the intestines when closing the abdomen and found the position according to this marked point.

But Luo Hao knew it was not the case.

Others just saw "wide noodles" and expressed surprise, but Chen Yan saw the detailed anatomical structure and knew exactly where it was.

Holding the intestinal tube, Chen Yan stretched out his hand and a sharp knife slapped in his palm.

He didn't try to be cool, but he was very handsome. Under the shadowless light, knife marks appeared and the sutures were cut.

As the incision appeared, white "wide noodles" poured out.

A large piece of gauze was immediately spread underneath. Chen Yan looked up with satisfaction and glanced at Luo Hao.

"Xiao Luo, have you done it?"

"Yes, Director Qian is very good at performing parasite surgeries." Luo Hao smiled, "For hydatid cysts, Boss Chai took Director Qian to a hospital in Inner Mongolia and he stayed in the operating room for two months. He said he performed hundreds of surgeries in one go."

“!!!” Chen Yan remained silent.

The little bit of pride I just felt disappeared.

Chen Yan spent two months in a hospital in Inner Mongolia, performing 1-2 hydatid cyst surgeries every day. He estimated that he would not have been able to endure it even when he was young.

Boss Chai is awesome, he is really determined to stay in Inner Mongolia for so long.

"There is an up-host on the short video platform. She is very pretty, but when she opens her mouth, bugs come out. Professor Luo, have you seen it?" the anesthesiologist asked Luo Hao.

Luo Hao shook his head and helped Chen Yan hold the "wide noodles" and began to "pull" them out little by little.

"Vomiting bugs? Is that true?"

"You can definitely tell it's post-production, but every time I see it I think of that guy...what's his name?"

"Blue Phoenix?" Luo Hao reminded.

"Yes, yes, yes." The anesthesiologist nodded repeatedly, "It's something like the Miaojiang Gu poison. If you dare to cheat on her, she will plant a love Gu all over your body, and you will die if the poison takes effect."

"Oh, I'm afraid you'll get clingy to me. You? You're still thinking about a long-lasting relationship? Stop dreaming." The circulating nurse said with a smile.

"Pathology basin."

Luo Hao stretched out his hand.

The instrument nurse was in a panic and began to look for a pathology basin.

Luo Hao was scratching his head. He had not performed many surgical operations. Most of them were performed in the Union Hospital and 912 Hospital with Boss Chai and Boss Zhou. Every time there was an operation, the operating room was fully prepared, and the instrument nurses and circulating nurses were also very capable.

Where would the current situation occur?

After waiting for 20 seconds, Luo Hao took the pathology basin that had just been taken out of the sterile bag and began to assist Chen Yan in the operation seriously without chatting any more.

Chen Yan clamped the broad-segmented tapeworm with tweezers and pulled it out little by little. His technique was delicate and he did not use too much force, for fear of breaking it or causing other problems.

The reason why we are so careful is because of our abundant clinical experience. Who knows what unpleasant surgical experience is hidden behind a seemingly awkward action.

During the awkward surgical procedure, the "wide noodles" were pulled out bit by bit, and Feng Zixuan still didn't understand what was going on.

Even though Luo Hao and Chen Yan told him that this was a tapeworm rather than wide noodles, after pulling it out bit by bit, it still looked like noodles.

Moved!

Feng Zixuan suddenly saw that the "wide noodles" moved by itself.

Bugs, alive!
It’s actually a bug!!
This broad-segmented tapeworm looks too much like noodles, Feng Zixuan was shocked.

"Hey, please get me a footstool." Feng Zixuan said.

"Okay, Director Feng."

The anesthesiologist and the circulating nurse went out together. The anesthesiologist took a look and went back embarrassedly.

Standing on the footstool, Feng Zixuan had a better view.

The broad-segmented tapeworm has been "dug out" about 40 cm, and the pathology basin is more than half full.

There was also a white mass in the patient's intestines.

"Be careful, Director Chen." Luo Hao warned.

"Ah?" Chen Yan was stunned.

"I think the intestinal pressure is not right. The patient seems to be passing gas."

"!!!"

Chen Yan immediately raised his head, and at the same time, Luo Hao covered him with the gauze pad in his hand.

"Bang~"

There was a muffled sound from under the gauze pad, followed by a pungent odor that spread.

"Fuck, luckily Xiao Luoli reminded me, I was too busy pulling out the tapeworms." Chen Yan turned pale with fright.

The patient underwent surgery for acute intestinal obstruction. The tapeworm was "dug" out by itself, and the intestinal obstruction was resolved. Various intestinal contents that were congested must have come out.

Coupled with the stimulation of the broad-segmented tapeworm, it is not impossible to spray it out.

Luo Hao did not chat with Chen Yan. He removed the gauze pad and saw that the surgical area was contaminated. The white tapeworms were covered with yellow feces.

"Is this the noodle soup used for wide noodles?" asked the anesthesiologist.

"Don't say such disgusting things. How are you going to face noodles with gravy in the future?" the circulating nurse scolded, and she immediately began to prepare.

"Oh, do you think you can face it if I don't tell you? You're kidding. After watching this operation, I will never want to eat noodles again in my life. I won't eat longevity noodles on my birthday anymore. Go away."

Although contamination of the surgical field is common in gastrointestinal surgery, there is a lot to be done.

Feng Zixuan glared at the anesthesiologist fiercely.

Not for any other reason, but because it is so apt. The white "wide noodles" have a yellowish color on them, and they look like noodles with gravy.

The egg sauce is still beaten.

"Let me feel how long it is." Chen Yan touched the intestines above, "It's almost there. This thing has grown quite big."

"It's quite big. It's about 80cm when straightened." Luo Hao thought again and continued to cooperate with Chen Yan to "dig out" the broad-segmented tapeworm.

After more than ten seconds, the pathology basin was filled with Diphyllobothrium latum, and Chen Yan stopped moving.

"This is such a big basin!" Chen Yan exclaimed in amazement, "This is the biggest one I've ever seen."

"Xiao Luo, did you see any ruptured intestines?"

"No, Director Chen. Let's rinse it first and then check it again later."

"Ah."

"Find a bucket." Luo Hao said.

The circulating nurse was busy, so the anesthesiologist stood up, put on gloves, took the red bucket and put it aside.

The instrument nurse poured the Diphyllobothrium latum from the pathology basin into the red bucket.

"Oh, it's really hard not to make associations. This bucket looks like the one in the skit 'Eating Noodles' performed by Chen Peisi and Zhu Shimao back then." The anesthesiologist muttered to himself.

Feng Zixuan was stunned for a moment, then he felt that what the anesthesiologist said made sense.

This is too similar.

But when I thought of Chen Xiaoer squatting down and putting the broad-jointed tapeworm into his mouth... Ugh~~~
"Director Feng, can I take a picture?" The anesthesiologist asked in a low voice as he looked at the broad-segmented tapeworm squirming in the red bucket.

"Take a picture. I'll take a picture for you."

The anesthesiologist carefully watched Feng Zixuan's expression, and seeing that he was not trying to deceive him, he happily went to get the oval forceps, "Director Feng, the phone is on the table, the password is 200329."

"What day is this?"

"Hehe." The anesthesiologist just chuckled, bent down and picked up the broad-segmented tapeworm with an oval forceps, then stood up.

She pulled up the "wide noodles" and shook her hands, shaking off the egg sauce on the "wide noodles".

The anesthesiologist stood up, squinted his eyes, and posed.

Feng Zixuan was also in good spirits and took photos of the anesthesiologist from several different angles.

"Enough for you to show off on the forum." Feng Zixuan said with a smile.

"Thank you, thank you, Director Feng." The anesthesiologist held the broad-segmented tapeworm gently and began to observe it himself.

"I haven't seen any."

"Generally, people in the south like to have them. They eat flat snails, water chestnuts, wild rice stems and the like, and eat the insect eggs." Chen Yan began to show off.

After the examination, it was found that there was no intestinal damage. Chen Yan's heart, which had been hanging in the balance, finally settled down. He felt at ease and in a much better mood.

A good mood can wash away the pungent smell of feces.

"This kind of work is not suitable for girls. We have to remove manure and unclog sewers. By the way, Xiao Luo, how is the patient with paraquat poisoning you admitted a few days ago?"

"Discharged."

Chen Yan obviously blurted out something. He wanted to say that the patient was fed fecal soup to induce vomiting, but he immediately thought of Zhuang Yan and swallowed his words back.

However, Chen Yan did not expect Luo Hao to answer "discharged from the hospital".

In Chen Yan's opinion, paraquat poisoning is a terminal illness!
"Paraquat... Actually, I think treatment is one aspect, but the most important thing is that the paraquat nowadays is expired and its toxicity is much worse." Luo Hao explained.

This explanation was quite consistent with Chen Yan's understanding, and his tense muscles began to relax.

Feng Zixuan looked at Luo Hao deeply. He actually didn't understand why he said that.

When the patient's condition was stable, the publicity department found me and said they wanted to do some publicity for the first paraquat patient who was discharged alive from the First Hospital of Medical University.

Feng Zixuan also thought it was a good thing. Besides, a helicopter was used for emergency first aid at the time, and there were many high-end elements in the publicity.

But Luo Hao had no interest at all and refused outright.

He really doesn't want to be in the spotlight.

What is more likely is that Luo Hao would rather sit by the patient's bed night after night looking at all kinds of boring numbers than accept the publicity.

Publicity doesn't matter to Luo Hao.

"This matter needs to be publicized!" Chen Yan sighed.

"Publicize? Director Chen, forget it." Luo Hao said helplessly, "Paraquat is no longer produced. What we drink now is all left over from the past. There isn't much medicine in the first place. Publicize it. Believe it or not, someone will broadcast it live right away."

"Fuck, I don't believe it. Qilu also does publicity."

"Haha, what if?" Luo Hao laughed. "Forget it. I have two projects in progress. It's almost the end of the year. There's also the Ice and Snow Festival and the annual conferences of various disciplines. By the way, Director Chen, Boss Chai said that this year's annual conference for general surgery will be held today. Did you know?"

Chen Yan suddenly fell into silence, surrounded by sadness.

After all, he is one of the few experts in Beijiang Province, the chairman of the General Surgery Department of Beijiang Province, and has a series of titles behind him.

How can an interventional doctor know the situation earlier than me when the national annual meeting is held?

Chen Yan knew the reason, but he just felt a little blocked in his heart.

"Director Chen, go play with the cats when you have time. I have prepared some gadgets recently."

"Gadget?!" Chen Yan's attention was drawn to it.

Feng Zixuan thought of the reclining chair in the panda house. Today, he was lying in the sun and drinking a cup of tea, with Zhuzi right beside him, being folded obediently by him.

It is absolutely not an exaggeration to say that the years are peaceful.

As for Chen Yan, he got a good deal. Luo Hao had a good relationship with Chen Yan and would definitely take Chen Yan out to play.

The exploration revealed no active bleeding, and no perforation or rupture of the gastrointestinal tract. Chen Yan turned around and walked off the stage, and Luo Hao followed him.

The remaining surgical steps are completed by the team leader.

"Tsk, tsk, this is a big Diphyllobothrium latifolium. Xiao Luo, do you think I can write a paper on it?"

"It seems not. I saw a case report in a magazine that showed that the broad-segmented tapeworms were at least 2 meters long."

"Oh my god! That big?"

"Yes, the Diphyllobothrium latifolium that was removed from the intestine of a female patient was more than 3 meters long. It seems to be the largest Diphyllobothrium latifolium in the world? Maybe there are even bigger ones in the deep sea. It's hard to say."

Luo Hao glanced at the "wide noodles" and was not interested. He chatted with Feng Zixuan for a few words.

After getting off the stage, he asked Chen Yan to go pet the cat, and Luo Hao sent Feng Zixuan to the door.

"Why don't you go find the girl?" Feng Zixuan asked.

"It's a bit late, so I won't go." Luo Hao said, "I need to write something on the research side, but my memory is not good now. If I don't write it today, I'm afraid I will forget it soon."

"Hahaha, you really can joke." Feng Zixuan smiled and left.

But before he had taken a few steps, Feng Zixuan's cell phone rang.

He picked up the phone, glanced at the call and smiled.

"Hello, Dean Zhuang."

"I've already taken the statement and put my fingerprints on it. There's nothing I can do about it."

Luo Hao raised an eyebrow.

(End of this chapter)