White armor

Chapter 491 Cat scratch disease, what is so difficult to diagnose

"I'm not done crying yet."

There was something funny and absurd about these words.

Luo Hao placed the duck neck that had been “sawn” open by the ultrasonic bone knife in front of the woman and said, “Here, take a look. This is it.”

"Pay more attention in the future and don't let the little one steal food again. Foreign objects in the esophagus are quite dangerous."

The woman's eyes were blurred with tears, and her emotions stopped abruptly before they reached their peak, which made her a little dazed.

"Boss Shi, I'm leaving." Luo Hao put the duck neck on the table, took off his sterile gloves, tore off his sterile gown, and turned to leave.

I hesitated for a moment and followed Luo Hao, "Professor Luo, are you going to work?"

"Ah."

"Can I take a ride with you?"

"Ok?"

Luo Hao was a little confused. The man who was climbing up the pole was so skilled and agile, just like a monkey.

There is a treasure pot over there. If the landlord's silly son can coax him a few more words, he can earn dozens more. But this guy wants to take his own ride?
Luo Hao turned his head and glanced at the boss whom I doted on and loved.

"I have an employee who had a fever a few days ago and asked for a few days off." Seeing that Professor Luo Hao Luo did not refuse, my boss who dotes on me lowered his head and moved closer to Luo Hao to explain, "I thought it would be fine in a few days, but after 3 days, there is still no news, and I am a little panicked."

"I asked a female employee to go to her rental house and take a look. She was already unconscious due to the burns."

"Oh?" Luo Hao became interested this time.

"We were sent to a small hospital nearby by 120 ambulance, but they said there was nothing we could do, so we were transferred to the First Hospital of Medical University that same day."

"Which department?"

"He was admitted to the intensive care unit yesterday and has signed several critical illness notices, almost one every few hours. His family is devastated." The eyes of my beloved boss flickered and his emotions were complicated.

Luo Hao roughly understood what he meant. If something happened to his employees, he, as the boss, had to take some responsibility.

But first he had to make sure if there was still hope, and think about the dark side. If there was hope, he should stay away from it. After all, the intensive care unit was a sinkhole, and no matter how much money was invested, there might not be any splash.

If there is no hope, take the initiative, this kind of money is limited.

"Oh, in that case, let's go together." Luo Hao glanced at the fireworks outside, "We have to hurry, otherwise there will be a traffic jam soon."

"Okay, okay, I'll go and explain."

My beloved boss quickly went to explain to his subordinates, and as for that woman, he felt a little regretful.

Between Luo Hao and that woman, my beloved boss still made the choice.

"Professor Luo, how do you drive this car? Electric cars are very cheap now. I see that some of the Xiaomi models are already being driven by people in our provincial capital."

"I don't have a garage, and there's a lack of electricity in the winter."

"That is indeed a problem. It seems that solid-state batteries have been under development. Today's batteries are indeed not very reliable. They sound very impressive, but in fact, there is nothing special when you open them. They are all lies." My beloved boss gently touched the interior of the 307 with his fingers.

Immediately, his eyes flickered more and more.

Something is wrong, this is not a Peugeot 307, but just another car wrapped in the shell of a 307. As for what is inside, my boss who dotes on me doesn't know much about cars, so he can't tell.

My understanding of Professor Luo was further enhanced. My boss, who I love and pamper, hesitated for a moment and said, "Professor Luo, do you think my employee is yang?"

"Yang? Not really. Fever is very common clinically, and the cause cannot be found in many cases. We call it fever of unknown cause." Luo Hao didn't care too much and just answered casually.

"..."

"Clinical medicine is still in its infancy, and we don't know the specific causes of many diseases." Luo Hao also felt a little regretful.

"What about Chinese medicine?" asked my beloved boss.

He tried hard to pick up what Professor Luo Haoluo was saying.

"Traditional Chinese medicine has a very high upper limit, but a very low lower limit. A small clinic in the countryside gives some hormones. Although there are many side effects, at least it can cure the current disease. Many old Chinese doctors in clinics use hormones."

"Fuck me!"

"There are people who draw talismans to cure diseases, and the talisman paper is made of veterinary antibiotics + hormones. Many of the various Chinese medicines that you see around you that are said to be miraculous, are actually Western medicines when they are sent for inspection. Some time ago, someone sent a Chinese medicine for inspection, saying it could nourish yin and strengthen yang, and strengthen the kidneys, but when it was sent for inspection, it was found to contain an overdose of sildenafil citrate." Luo Hao said.

"!!!" My beloved boss could no longer speak.

This is too much! He immediately checked the several medicines he wanted to take.

"What's the situation with your employees?" Luo Hao asked.

He was not interested in my doting boss, but wanted to understand the patient's condition first.

"The girl was 18 years old and didn't want to go to school, so she came here to work. At first I thought she was okay, very hardworking and I had a good impression of her. But two months ago..."

"Wait a minute, the disease first occurred two months ago?" Luo Hao asked.

"I can't say she's sick. Two months ago, she kept saying she had a fever and wanted to take leave. I think it's because she's a country girl who came to the provincial capital and became playful after getting familiar with the place. But since I love her and I spoil her, I'll deduct money if she takes leave, and she doesn't want to make money, so she can take leave. I don't care."

Luo Hao frowned slightly and concentrated on driving.

Did you start to play around after you got familiar with each other? Luo Hao didn't think so. But he didn't say anything, but listened quietly to the description of my boss who dotes on me.

"Xiao Xiang said she has a fever every night, up to 40°C, and she just needs to take some Enric."

"He seemed normal during the day, but he took leave from time to time, saying that he had a fever and couldn't get up."

"Are you feeling any other discomfort?" Luo Hao asked.

"It seems like she said she had back pain. Professor Luo, you said, how can an 18-year-old girl have a back? At my age... I only realized that back pain is real after I turned 40. Before 40, I thought people who said they had back pain were just being pretentious."

My boss, whom I love, is not a doctor. He can only be considered a veterinary practitioner, so he is somewhat unprofessional when describing the condition.

But Luo Hao didn't care and continued listening.

At first, the patient had a fever every night, but he didn’t pay attention to it, and my boss, whom I loved and doted on, didn’t pay attention to it either.

A few days ago, he fainted due to a fever and was sent to the hospital.

I am now living in the ICU of the First Hospital of Medical University.

My boss, whom I love, had complicated emotions. Luo Hao could tell that he wanted to give his employee good treatment, and his previous guess was a bit dark.

But the Intensive Care Unit of the First Hospital of Medical University is not an ordinary place.

There was a joke in the past. Someone went to an unfamiliar city, got on a taxi and said generously: "Take me to the most expensive place here."

As a result, the taxi driver took him to the hospital and told him that the ICU was his destination.

The results are pretty much the same.

Although it's a joke, the intensive care unit is indeed the most expensive place that ordinary people can visit.

This is also the dilemma I have with my boss whom I love.

He wanted to be a good boss, but once the person was admitted to the intensive care unit, his defense was suddenly in jeopardy.

"I'll go and see it later." Luo Hao agreed.

My beloved boss looked at Luo Hao gratefully, "Professor Luo, thank you for your help, thank you for your help."

"You're welcome. Being a doctor is a job that involves treating patients. It's a side job." Luo Hao said with a smile.

My beloved boss didn't know what to talk to Luo Hao about, and Luo Hao didn't want to talk to him either.

But the silence became increasingly awkward, and my beloved boss began asking questions about bamboo.

He took out his cell phone, ready to find photos of bamboo to show Luo Hao how much he loved bamboo.

But when I opened an app out of habit, my beloved boss was stunned.

"Professor Luo, bamboo is trending!"

"Oh, really."

My boss, whom I dote on and love, doesn't understand why Professor Luo is not excited.

Hot search, that’s a hot search!
Although bamboo has been on the hot search list before, the trees that can continue to be on the hot search list are evergreen. For him, this is a treasure trove.

If my own product "I Love You" could become a hot topic once, even if it is purchased, the business would probably be much better.

Looking carefully at the trending searches, my beloved boss was dumbfounded.

Live broadcast, PK, someone wants to step on bamboo to get to the top. As a result, during a PK, the live broadcast room was overwhelmed by the crowd and crashed!

This is a serious technical accident for the live streaming platform.

When he opened the trending searches, my boss, who loves me, saw many edited videos and he clicked on the most popular one.

The dancing female internet celebrity is as ridiculous as her flimsy background, and is completely washed away by the scene of the bamboo fighting the Siberian tiger.

There are countless charming female internet celebrities on the Internet, and there is no shortage of her.

But this was the only time that a giant panda and a Siberian tiger fought.

Can this be broadcast?

Can I watch it without paying?

My beloved boss has countless questions in his mind.

However, one thing can be confirmed by the hot searches - there must be a close connection between Professor Luo and animals.

This is talent, it’s talent!
No wonder the elders in the field of veterinary medicine admire Professor Luo so much.

Looking back now, countless rumors seem to be true, and no matter how absurd they sound, when compared with the facts, it seems that the rumors are trapped by imagination and are somewhat bland.

How great it would be if Professor Luo could become a long-term expert on my side. My beloved boss started dreaming.

At that time, there will be an advertisement, and Zhuzi and Professor Luo will appear together!
But he also knew it was a dream.

The image endorsement of Bamboo was bought out by Tencent, and it became very popular. The live broadcast room was even more crowded, and I couldn't come up with so much money.

My boss, whom I love and pamper, felt a little regretful and as if he had lost hundreds of millions.

After much hesitation, I came to the First Hospital of Medical University.

Luo Hao glanced at the time, changed his clothes, and accompanied my beloved boss to the intensive care unit.

Entering the intensive care unit, Luo Hao changed clothes in the corridor and walked in.

"Enlarged spleen, swollen lymph nodes, what are you considering?"

A stern voice came out faintly.

Luo Hao was slightly startled, then smiled.

The technical level of the First Hospital of Medical University is there, there is no need for you to keep following it.

The patient will be sent to the First Hospital of Medical University and given symptomatic treatment first. For difficult and complicated cases, there will be a high probability that there will be a result when the director comes for rounds the next morning.

The director of the intensive care unit can tell at a glance what disease my beloved employee has.

"This is a typical cat scratch disease!" The stern voice came again.

"Ceftriaxone, vancomycin and meropenem treatment, changed."

"Director, what medicine should I change?"

"Amikacin and doxycycline."

Although the director of the intensive care unit spoke harshly and aggressively, he did not make things too difficult for the junior doctors.

Luo Hao also breathed a sigh of relief. He didn't go into the office because everyone had made the correct diagnosis, which was similar to what he had guessed, so there was no need for him to show up.

After taking a look at the patient from a distance, AI Diagnosis also gave the same definite diagnosis - cat scratch disease. "Cat scratch disease is an infectious disease caused by Bartonella bacteria, mainly Bartonella henselae, which is a facultative intracellular Gram-negative coccus distributed worldwide.

The pathogenesis of cat scratch disease is still unclear, but may manifest as skin, regional lymphadenopathy, or systemic ocular, visceral, neurological, or musculoskeletal involvement.”

"The patient works in a pet hospital. He has intermittent fever and an enlarged spleen. The diagnosis is clear. Change the medicine first and check for Bartonella henselae. Tell me the results as soon as possible."

"Okay, Director."

Luo Hao was about to leave, but before he could change his clothes, a voice came from behind him.

"Intervene Professor Koro?"

"Hello, Director Song." Luo Hao turned around with a smile.

"What are you doing here? I just happened to be looking for you, did you know?" Director Song from the intensive care unit strode towards Luo Hao.

She has a lively personality, is not at all reserved, and is decisive and resolute.

Luo Hao chuckled and wondered how to explain it to her.

But Director Song didn't care at all about what Luo Hao did. If Luo Hao had something to say, he would tell him. He would leave without saying a word, so it must be nothing serious.

"Professor Luo, I heard that you already use robots in your operating room?"

“???” Luo Hao was stunned. Director Song was quite interesting.

I used a robot to perform compression hemostasis and pressure bandage in the interventional catheterization room, and I didn't hide this from anyone.

However, those who know about it are just there to watch the fun. Maybe they have some guesses about robots entering hospitals, but they certainly don't think too much.

But Director Song's expression and tone seemed a little off.

"Yes, Director Song."

"Come on, come on, take me to see it." Director Song grabbed Luo Hao's arm, as if he was afraid that he would run away.

"..."

"You know that we in the ICU do the hardest work."

"Director Song, do you want the robot to assist the nurse in turning the patient over?" Luo Hao understood and asked directly.

"Yes, two years ago, I hired a group of new nurses, around 22 years old. They have been working in the ICU for a little over two years, and most of those who haven't worked hard have suffered from lumbar disc herniation."

Luo Hao sighed.

Indeed, there are many unconscious patients in the intensive care unit and the neurosurgery department, so turning the patients over and preventing the occurrence of bedsores has become a big deal.

This is physical work.

Therefore, the health of nurses in these departments is inevitably seriously affected.

The head nurse of the intensive care unit likes male nurses the most, not for any other reason, but just so they can stay up late and have strong arms.

Even the head nurses in the intensive care units of many hospitals have become men.

If the robot helps you turn over...

Luo Hao hadn't thought of this step yet, but Director Song from the intensive care unit made a request to him.

"Okay, let's go take a look together. I'll call Director Shen and let him know."

Luo Hao called Shen Zizai while changing his clothes.

Leaving the ICU and coming to the interventional catheterization room, Luo Hao took Director Song to see the robot.

The robot and the robot panda are in the room where the lead clothes are hung.

I opened the door and it was pitch black inside.

"You know what, this guy looks strong!" Director Song praised.

It was pitch black inside, and a figure was vaguely visible. If it were an ordinary person, he would be scared, or at least feel a little scared.

But Director Song didn't care at all. She looked up and down at the height of the robot, and probably already started thinking about how to use this thing in the intensive care unit.

Luo Hao turned on the light and the robot appeared before him.

It looks like an ordinary doctor, except that it has a slicked-back hair and looks a bit imposing.

"Head shape? How can it have a head shape?" Director Song asked in surprise.

"A robot is a robot, but it still has the word 'human' in it. We try to make it look like a human to avoid scaring patients."

"No need, this is too detailed." Director Song said disdainfully.

Luo Hao smiled inwardly. Director Song was even simpler and more direct than himself. He went straight to the point without any hypocrisy or courtesy.

"How are your strength and coordination?"

"Director Song, this is a robot designed for our department. It doesn't have the function of turning over. Please take a look at it later. If you need any functions, I will ask the manufacturer."

"Is this a test subject for your scientific research? Does it cost money? If you propose a plan..."

"It doesn't cost any money. We are still collecting data from various clinical departments." Luo Hao said.

"Ha, that's fine. But Xiao Luo, I'm telling you, don't drop the patient."

"Director Song, I can't guarantee it. I can only say I'll try my best. At the beginning, there should still be a nurse watching. You don't have to do any physical work. The nurse or the nurse's wife can watch over it. If there is any problem, there are ways to remedy it."

It was obvious that Director Song didn't really trust the robot and what he said was just a joke.

She walked over and reached out to touch the robot.

"Huh? Why does it feel like real human skin?"

"Haha." Luo Hao smiled without saying anything.

Professor Li wants to use it as a robot girlfriend, so how could it feel different?

"Xiao Luo, how do I start it?"

Luo Hao snapped his fingers, a rustling sound was heard, the robot's neck twisted, and its eyes opened.

The light flashed green, then turned red.

The robot's arm reached out, pulled out a pair of sunglasses from its pocket and put them on.

With a slicked-back hair and sunglasses, he looks exactly like Director Qin Chen.

"Damn, why is it wearing sunglasses?" Director Song was surprised.

"The feedback after using it is that it is a bit scary not to wear sunglasses, and I am afraid that patients will not be able to accept it."

"But I can't see anything with sunglasses on, isn't that even weirder?"

"Poor-quality sunglasses make everything look gray, and the worst ones make everything in front of your eyes black."

"The better sunglasses are almost the same as looking with the naked eye."

"Ah? There is something like this?" Director Song glanced at the robot. "Can I try it?"

Luo Hao took off the robot's sunglasses and handed them to Director Song.

"Such comfortable sunglasses? No wonder those celebrities wear sunglasses even in the dark night. It turns out they can see everything."

Director Song exclaimed.

"What brand is this?"

"I made it myself. The sunglasses on the market are generally Dior. This one was made in the laboratory, in conjunction with a group at Zeiss."

"Xiao Luo, I'm not criticizing you, but money should be spent where it counts. Why do you have to do so many fancy things?" Director Song said bluntly.

Luo Hao didn't explain, just smiled.

"It looks really good, exactly like the real person." Director Song said this without meaning it.

She is the director of the intensive care unit. She speaks directly to save communication costs. This has become a habit after so many years of work. She cannot change it in a short time, and she doesn't want to change it.

“When will you have surgery?”

"Right away, Director Song, if you have nothing else to do, please wait for me." Luo Hao said, "After you finish one operation, please take a look at the compression hemostasis and pressure bandage. It only knows these two things now. Assisting surgery involves a lot of data, and the laboratory is working overtime on it."

"Surgery is so difficult. Help me get two turning robots first."

"Well, turning over is indeed simple. Director Song, please give me some data first. The more data, the better."

"What data?"

"For example, videos of critically ill patients turning over are all data. The more data there is, the faster the robot can learn, and the less likely it is to have accidents."

"..." Director Song was stunned.

Then she sighed and said, "Okay, I'll ask them to start recording now, but since it involves the patient's privacy, do they need to sign a confidentiality agreement?"

"Of course." Luo Hao replied.

He didn't mind Director Song being too busy. This was something that had to be taken into consideration, and he also had to sign an agreement with the patient's family.

Generally speaking, family members of patients who can be basically cured and discharged from the intensive care unit will not care.

Collecting relevant data is not too difficult, but it is a slow process that accumulates over time and cannot be rushed.

Soon, Meng Liangren and Zhuang Yan brought the patient in, and Luo Hao was fully dressed and went into surgery.

In 20 minutes, the first operation was completed.

Luo Hao kicked open the airtight lead door and walked out, "Director Song, let's go take a look."

Stab~~~
Luo Hao tore off his lead skirt.

At the same time, a mechanical arm appeared beside Luo Hao and took over the lead skirt.

Director Song was stunned.

This momentum...

It doesn't look like the First Hospital of Medical University at all, it's more sci-fi than a sci-fi movie.

The robot dog was collecting Luo Hao's armor while Luo Hao was walking and communicating with Director Song.

Soon, Meng Liangren and the nurse lifted the patient onto a stretcher and pushed him into the corridor of the operating room.

The robot had been waiting for a long time wearing isolation clothing, a hat and a mask.

After the handover, the robot began to apply pressure to stop the bleeding.

"Will the operation hurt?"

A voice appears.

Director Song was stunned and looked around. Finally, he found that it was a robot chatting with the patient and calming the patient's nervousness about the operation.

"Not bad." The patient didn't realize the other person was a robot and answered casually, "Professor Luo's surgery was fast. I searched online and the surgery takes at least an hour, but Professor Luo finished it in just over 20 minutes."

"Have you seen the surgical image on the upper left?" the robot asked.

"I saw that the big tumor was injected with medicine, and the tumor disappeared after embolization. In my opinion, our old patients who have undergone interventional surgery are almost as good as doctors. We can tell how well the surgery is done just by looking at it."

"Oh, you guys had a lot of conversation in the ward."

When Director Song heard that the robot could actually use the interjection "yo he", he was a little dazed for a moment.

The ICU director suddenly became interested. This thing was more interesting than he had imagined.

(End of this chapter)