White armor

Chapter 549 Congestion and blood stasis
"Ah, not really." Luo Hao scratched his head.

"It's a free gift since this is the first time you order food from my restaurant," Zhang Qiuheng replied.

He must have received personal instructions from Boss Lou, so he tried hard to play the role of a small boss who opened a store in the community.

But no matter what he said, he didn't sound like an ordinary small boss or takeaway man. He had a fierce look on his face and spoke in a particularly stiff manner.

"You're too polite." Luo Hao didn't know what to say. He probably thought the chef just wanted to show off his cooking skills.

After bringing the things in, Luo Hao briefly exchanged polite words with Zhang Qiuheng and closed the door of the catheterization room.

"Buddha Jumps Over the Wall? How much does it cost?" the nurse asked in surprise.

"Maybe it's the Northeast version of the authentic Buddha Jumps Over the Wall, just a name. The authentic Buddha Jumps Over the Wall is very expensive, we can't afford it." Luo Hao explained helplessly.

I just wanted to eat something clean, but I didn't expect Zhang Qiuheng to raise the standard to such a high level all of a sudden.

"I haven't eaten it yet." A nurse happily carried the food to the living area. As she opened the bag, she muttered, "When I first started working, I was lax. A patient's family treated us to a meal and served vermicelli. I thought it tasted good, but the director told me it was shark fin."

Inside the bag was a wooden box, with a small bowl of Buddha Jumps Over the Wall placed steadily on top.

Just looking at this wooden box, it seems that a lot of effort was put into it. It is different from ordinary takeout.

Luo Hao felt a little bad, but after thinking about it, he decided to let it be. It didn't matter. At most, he could just tell Zhang Qiuheng to cook a simple meal.

"Xiao Luo, order takeout." Shen Zizai smelled something and walked in. He sniffed hard, "Hmm? Dalian dried abalone?"

"Director is amazing. He can even smell it."

"Oh, I ate too much in the past few years, so I just remember the taste." Shen Zizai laughed, "I haven't eaten it for many years. I've lost my appetite due to the anti-corruption campaign."

Luo Hao immediately became cautious. The chef had overcooked the first meal in order to show off his cooking skills.

It would be fine if he didn't know, but Shen Zizai smelled it right away. This was not good. He had to call Zhang Qiuheng soon.

Shen Zizai opened the lid of the bowl and took a glance. "The lips of the plow-head ray? This portion of Buddha Jumps Over the Wall costs about 2000, and that's the cost price."

"..." Luo Hao really didn't expect that the chef would take so much pains to prepare so many delicious things for the first meal.

The lips of the shovelhead ray are indeed nice and not something you rarely see.

It just seems a bit out of place in the current environment.

"Director, no, it's just ordinary fish lips. 188 each. I also lost a lot of money today." Luo Hao walked over and kicked Shen Zizai.

"Haha, I read it wrong." Shen Zizai said calmly, "Eat, eat, stop being busy!"

Everyone enjoyed the meal to their heart's content.

However, except for Shen Zizai, no one else knew the fish lips of the plowfish, and they could not tell the difference between Dalian dried abalone and other abalone.

After eating, clean up and wait for the chef to pick up the lunch boxes.

Shen Zizai pulled Luo Hao back to the department.

"Xiao Luo, what's going on? You have always been low-key, why are you so extravagant today? I didn't expect that I said the wrong thing, but don't worry, Corey will never get into trouble." Shen Zizai asked in a low voice.

"Don't mention it. Qingqing and Zhuang Yan have been trying to lose weight recently. I just happened to meet Boss Lou and went to find him across from the hospital..."

Luo Hao briefly explained the situation.

"Oh, make some ordinary dishes, home-cooked dishes. The level of a real chef can be seen when he cooks home-cooked dishes." Shen Zizai didn't care much and instructed with a smile.

"Yes, Director."

As Luo Hao spoke, he turned his head slightly and saw Technician No. 66 following behind him with a hunched back.

His face was flushed and his posture was odd.

"Sixth Brother, haven't you eaten enough? No more." Luo Hao waved his hand.

"Professor Luo, I...I..." Technician No. 66 stuttered and couldn't even finish a sentence.

"If you have anything to say, just tell me." Seeing that Technician No. 66 looked strange, Luo Hao turned around and stopped.

Technician No. 66 glanced at Shen Zizai, then looked at Luo Hao in embarrassment.

Shen Ziyi curled his lips, "Why, I haven't retired yet, can't you tell me what you want to say?"

"..." Technician No. 66 felt that something was going wrong, so he quickly bent down and apologized, "Director, no, no, it's really not true."

"Just tell me what you want to say. You're hemming and hawing like a woman."

"I went out to play with Manager Ma last night."

Luo Hao frowned slightly, looked up and down at Technician No. 66, and immediately found something wrong.

How much sildenafil did this bastard take?

After opening the AI-assisted diagnosis and taking a look, Luo Hao didn't know whether to laugh or cry.

"I'm suffering from congestion now. Professor Luo, do you think it will be okay?" Technician No. 66 was almost crying.

It has been like this since the beginning, and it hasn't gotten better. He is now more and more worried that he will become disabled.

Shen Zizai was also stunned. Is this true?

Luo Hao said helplessly, "Come with me, let me take a look at the treatment room."

"Professor Luo, are you okay?"

"Sixth Brother, tell me the truth about what I'm going to ask you next." Luo Hao said in a deep voice.

"Hmm."

"Did you take sildenafil or a topical papaverine injection?"

"???" Technician No. 66 was stunned. "Does local injection of papaverine work?"

"You don't know about injecting papaverine into the corpus cavernosum to treat seizures?" Shen Zizai asked, "But that thing can't be used too much. Some small clinics randomly injected papaverine into patients, which resulted in golden erections."

"..."

Technician No. 66's expression became extremely strange.

Papaverine is commonly used in interventional departments to dilate blood vessels. The department has the drug on hand and uses it regularly. I never expected it to have such an effect.

"Sixth Brother, what are you thinking about?" Luo Hao scolded, "Do you want to die? It's such a bad time and you're still thinking nonsense."

Technician No. 66 immediately woke up from his fantasy.

"Director, Professor Luo, I took the medicine orally, using Jinjiu, Red Bull, and wolfberry to take it down."

"How much did you take? Definitely not 100mg."

"About four or five? I forgot." Technician No. 66 said in a low voice with his head down and his back bent.

"You are really looking for death." Shen Zizai hit Technician No. 66's back hard, with a loud bang.

"I……"

"Don't worry about it. Just take a look. If it doesn't work, we'll have to open it up surgically." Luo Hao frowned and said in a deep voice.

"!!!"

"I'm not trying to scare you. Holding your breath for too long will cause excessive pressure on local tissues, leading to necrosis." Luo Hao sighed, "I've seen a patient who received two injections of papaverine at a small clinic. He went home and didn't collapse after two injections. He survived for 2 days before going to the hospital."

"and after?"

"It should have been dead a long time ago." Luo Hao had a look of pity and anger on his face. "You and Ma Zhuang should just eat and drink together, why are you playing so hard? He had rhabdomyolysis some time ago. You don't really want to die in a foot massage parlor, do you?"

“……”Technician No. 66 was speechless.

"Take a look. If it doesn't work, go through the hospitalization procedures immediately. I'll ask Director Pei to come on stage."

Technician No. 66 stopped talking. Luo Hao's expression and what he said made him a little confused.

He knew that this would cause problems, but he didn't expect it to lead to death.

If it's really bad, what should I do... Will it be completely broken?

When he arrived at the ward, Luo Hao did not rush to examine the patient, but first measured vital signs such as body temperature, blood pressure, and heart rate.

66号技师的体温是37.8℃，心率 1420次/分，呼吸30次/分，血压140/96mmHg。

The facial expression of acute pain, restlessness, and forced flexion position clearly indicate that the condition is serious.

Abdominal distension, full bladder, purple-black skin, severe local tenderness, slightly higher epidermal temperature. Head congestion, edema. Swelling is spherical, and the skin is purple-black and shiny.

Shen Zizai was stunned. He didn't expect that Lao Liu's condition would be so serious.

"Sixth Brother, you are really courting death." Shen Zizai sighed with a hint of hatred.

"Director, Professor Luo, it can't really be necrotic." Technician No. 66 almost cried.

"Hurry up and arrange for hospitalization. If you have any questions, we can talk about it when we get on stage." Luo Hao said seriously.

Seeing Luo Hao's serious and even somewhat "ferocious" expression, Technician No. 66 felt like the sky was falling.

"Sixth Brother, you... why don't I just cut it off for you?" Luo Hao said, "It will only cause trouble if you keep it, what do you think?"

"No, no, no, I'm not married yet." Technician No. 66 quickly said no.

"Tsk, are you planning to go to a foot massage parlor and find a guy with a gambling dad and a sick mom?"

When Technician No. 66 saw that Luo Hao had started joking with him despite having a stern face, he felt that there seemed to be no problem and felt a little better.

"Professor Luo, I know you look down on me." He said embarrassedly.

"I didn't, but you said you don't care about anything when you play, so isn't it a trap for me to recruit you to my medical team?" Luo Hao said frankly.

"..."

"I'll help Director Pei later, it should be no problem."

"!!!"

"Forget it, I'll tell you the rest after you are discharged from the hospital. Don't worry, I'll go on stage with you and try my best to prevent you from having any sequelae." Luo Hao patted technician No. 66 on the shoulder.

"me……"

"Don't think about it. There are only one or two cases of your disease in the whole hospital in ten years. Even if I don't tell anyone, the doctors and nurses in the operating room will tell everyone about it. From now on, you will become famous, Old Six. You will become famous in one battle." Luo Hao knew what Technician No. 66 was going to say.

This one sentence left Technician No. 66 speechless.

Before Technician No. 66 could even open his mouth, Luo Hao refuted all his ideas.

In fact, Luo Hao did not mean it, but wanted to tell Technician No. 66 that no one could do such a thing.

Shen Zizai called the hospital manager to handle the hospitalization procedures, and asked the family of technician No. 66 to come and sign.

These chores would take at least a few hours, so Shen Zizai called Luo Hao to his office.

"Xiao Luo, is it okay?"

"Probably not. Just have an operation and it will be fine in a few days. Your future functions will not be affected. Don't worry, Director."

After hearing what Luo Hao said, Shen Zizai felt relieved and immediately cursed, "What the hell, Lao Liu is such a bastard! Playing is playing, making noise is making noise, but you can't be so rude. When he's done, I will definitely give him a good lesson."

Shen Zizai said this while secretly glancing at Luo Hao.

Seeing that Luo Hao didn't have a disgusted expression, Shen Zizai felt relieved.

"I can't bring him with me when I go out to dinner with Boss Lou in the future." Luo Hao sighed.

Those fancy things in society are indeed not suitable for Lao Liu, who is the type who doesn't know what to do. "From the look on his face just now, I suspect that this bastard should carry a syringe with him in the future, and go to the bathroom to give himself an injection of papaverine before doing anything."

"Not really, not really." Luo Hao waved his hand.

"Of course not." Shen Zizai laughed when he said this, "By the way, a few years ago, a vice president slept with a salesperson from a pharmaceutical company, and the salesperson died. You know that."

Luo Hao nodded.

"What do you think they used?"

"I heard from my senior that the vice president is a pharmacist from the pharmacy department. I guess he extracted the contraband."

"What if we inject two or three doses of papaverine? Is that possible?" Shen Zizai asked.

"..." Luo Hao shuddered, "Director, please take care of yourself."

"Get lost, I've eaten and seen it all, how can I overeat like Lao Liu?" Shen Zizai scolded, "When I was eating and seeing it all, you were still wearing open-crotch pants."

Luo Hao had heard about various gossips in the past, but he had no interest in such things.

"I'm asking you a question. How about two or three doses of papaverine?"

"Generally speaking, it's fine. The chances of Lao Liu's situation happening are extremely small."

“No wonder the Evergrande Song and Dance Troupe all performed the squat dance at that time.”

Shen Zizai's thoughts jumped to Evergrande.

Luo Hao didn't respond. If he continued talking like this, who knows how fast Shen Zizai would drive the car.

Some people are good at talking but they drive recklessly, but Shen Zizai is obviously not that kind of person.

Luo Hao clearly remembered that when Ma Zhuang came to the hospital for the first time, he and Shen Zizai went to the emergency department. When Shen Zizai saw the big foreign horse, he subconsciously said - Good Dinglu.

I think Director Shen had indeed eaten and seen these things when he was young, so there is no need to hide such things.

The same goes for men and women. Doesn’t Miss Dong also have Gree Tiger? It is said that after joining Gree Tiger, Miss Dong’s temper has improved a lot and she has become much more friendly.

Seeing that Luo Hao didn't want to talk, Shen Zizai laughed, "Xiao Luo, you have a bad temper and are too pretentious."

"Director, I mainly don't have time."

"Tsk, you're so busy at such a young age that you don't have time, are you kidding me?"

"it is true."

Shen Zizai found it boring. Xiao Luo was good in every way except that he was hypocritical.

In fact, people like Luo Hao seem to be the kind of gentleman in everyone's cognition, but Shen Zi has never seen anyone who is a gentleman in his life.

The reason why it looks normal is just because it is well covered up, or there is not much chance.

Just like Technician No. 66, he used to be poor and had a tight budget. Someone taught him and he became disabled.

After chatting with Shen Zizai for a few sentences, the two of them did not see eye to eye on this issue, and Luo Hao did not intend to join in the fun, so the conversation ended there.

After looking at a group of patients, Luo Hao went to Pei Yingjie to discuss the surgical plan.

When Pei Yingjie saw Luo Hao coming, he didn't want to have the surgery or discuss it.

Discuss? What is there to discuss? Pei Yingjie had only treated a handful of similar patients, and he was eager to throw this matter on Luo Hao.

On stage in a few hours.

Luo Hao was too lazy to comfort Technician No. 66. This guy was such a piece of shit that he was not worthy of being shown to the public. He took him out to see the world, but he ended up making such a mess of things.

Alas, Luo Hao also found it difficult to understand.

After changing clothes, he went to the operating room with Pei Yingjie.

Luo Hao asked for an ultrasound machine and pushed it into the operating room.

"Xiao Luo, do you want to do ultrasonic extraction and lavage?" Pei Yingjie looked at it with interest.

Although Luo Hao was not kind to Technician No. 66, he was really good to him in his heart.

There are several surgical procedures. The simplest is a rough incision and drainage to squeeze out the blood in the corpus cavernosum.

The advantage of doing this is that it is simple and easy, and the operation is not difficult, but the disadvantage is that it is easy to have the side effect of impotence after the operation.

And it is not easy, it is a relatively high probability of occurrence.

As for other surgical procedures, none of them can catch up with the cavernous body puncture and aspiration treatment under B-ultrasound.

Pei Yingjie also wanted to perform this procedure, but there were few similar patients, and he needed someone with B-ultrasound skills to come and help, so he just left it there.

Unexpectedly, when Pei Yingjie saw Xiao Luo doing puncture and aspiration today, he suddenly became interested.

Luo Hao did not comfort the patient as usual. Pei Yingjie felt that Professor Luo was angry with technician No. 66.

Pei Yingjie was very happy when he saw this.

It turns out that Professor Xiao Luo has this weakness. He is still young and soft-hearted. If it were me, I would say it and laugh. As for the surgery, it would not be a big deal. I would just use a cavernous shunt.

Speaking of this, Pei Yingjie remembered that recently the director of orthopedics in a hospital was a knife tyrant. He controlled all surgeries and refused to allow the doctors below to perform the surgeries.

Later, whether it was due to God’s wrath or just coincidence, the director suffered from lumbar disc herniation.

The doctor who performed the surgery on him left him paralyzed afterward.

Emmm, it's hard to say whether this kind of thing was intentional or unintentional.

Just like right in front of my eyes.

"Ouch~~~"

The nurse who was preparing surgical supplies suddenly cried out in pain, covering her left fingers with her right hand.

But she didn't dare to cover it too hard and was in a dilemma.

"What's wrong? Gout?" Luo Hao was a little surprised.

"Yes, I have gout recently. I can't live like this. I'm only 29!" The nurse squatted on the ground and wailed.

The operating room was filled with doctors from the same family, so she didn't try to hide her feelings.

"How long has it been?" Luo Hao didn't look at technician No. 66, but turned around and asked the nurse.

"A few months."

"Are you trying to lose weight recently?"

"Professor Luo, how do you know? Weight loss has nothing to do with uric acid," asked the nurse.

Lose weight, lose weight again.

Luo Hao sighed, "I recently read an article... I can't really call it a literature. The publisher thought the paper was not detailed enough and rejected it."

"It's about how drinking large amounts of sugar-free drinks over a long period of time can cause gout in young people."

"Oh my god!!!" The nurse was stunned for a moment, "I have been drinking Oriental Leaves recently to control my sugar intake."

"There is no data on whether similar beverages can cause gout, but the gout rate among young people has increased, and many cases are related to sugar-free beverages. Drink as little as possible. Plain water is good, isn't it?"

"It's too plain. I can't drink it." The nurse said with a frown.

Luo Hao shrugged and spread his hands. There was nothing he could do about it.

"Drink more hot water no matter what." The anesthesiologist said with a smile.

"Have you checked to see how high your uric acid level is?" Luo Hao asked.

“I didn’t dare…”

"Go check it out and drink more water." Luo Hao also added.

Drink more water? Hahaha, Pei Yingjie laughed in his heart. Professor Xiao Luo is indeed a straight man. He said something like "drink more water" without hesitation.

"But boiled water doesn't taste good now. Chen Yong said that drinking boiled tap water in the UK can easily lead to baldness. The kettle is full of scale, so you can only buy purified water in boxes. It's not easy to get purified water here either. Many small workshops use recycled barrels and directly fill them with tap water."

"..."

"..."

"When will food become truly safe?" Luo Hao said with a sigh.

"Professor Xiao Luo, you think too much." Pei Yingjie said with a smile, "It's not good to think too much. Everyone drinks like this."

Luo Hao nodded, and seeing that everything was almost ready, he turned around to wash his hands.

After returning, Luo Hao laid out a sterile sheet. He did not take the surgeon's seat, but put a sterile film on the ultrasound probe and started scanning.

After finding the location, Pei Yingjie began to draw out the blood clots inside under Luo Hao's precise ultrasound positioning.

A tube of black blood was drawn out, and Technician No. 66's eyelids twitched as he watched.

He had previously thought that his illness was a bit serious, but he never expected that the blood clots had turned black, one shade darker than venous blood.

"Professor Xiao Luo, your B-ultrasound skills are really high. You can just pick the right spot. I think it would be OK if we don't need a blind B-ultrasound." Pei Yingjie praised.

"Ultrasound is still more useful and can avoid risks." Luo Hao replied indifferently.

Pei Yingjie could feel Luo Hao's complicated and helpless mood, and did not chat much. After drawing out the blood clots, he injected heparin for repeated flushing, corrected acidosis, and fought against infection and kept warm.

And so on steps are completed in one go.

Because Winter shunt was not performed, there was no incision and the damage was low. Pei Yingjie looked at the softened surgical area and said with emotion, "I guess this is the time when I most hope it will soften."

"Director Pei, you guys in the urology department are all old hooligans. You drive as soon as you open your mouth, and you can't speak if you don't drive." The nurse mocked.

"I deal with low-lifes every day, what can I do? Besides, I'm telling the truth, just ask if I think so. Why is it not okay to tell the truth these days, don't you think so, Ronaldinho?"

"Director Pei, can you still get up?" Technician No. 66 asked worriedly.

"It should be fine. If Winter shunt is used, there will be side effects. Professor Luo pushed for B-ultrasound. Although it is a bit troublesome to use B-ultrasound to locate puncture and flushing, it requires a higher level of technology, but the advantage is that the postoperative damage is small."

"Do you want me to leave you a small micro pump?" Pei Yingjie said with a smile.

"Small micro pump?" Technician No. 66 was stunned.

"Director Pei is joking with you. What he means is that a certain amount of papaverine can be pumped out when needed." Luo Hao said.

"!!!"

"Hahaha, Xiao Luo, have you studied this too?"

"Director Pei, have you studied this?" Luo Hao asked.

"Yeah!" Pei Yingjie nodded.

Luo Hao was a little surprised. This kind of thing... Well, if there was a suitable micro pump, this would indeed be a good idea.

"What should we do about tolerance?" Luo Hao asked.

"Professor Xiao Luo, I have never seen a patient who is tolerant to papaverine. The effect is very good, but it's a pity that adding medicine is still troublesome."

Luo Hao's mind moved, and several things that could be used appeared in his mind. If it was combined with the micro pump that Pei Yingjie mentioned, it would definitely be very useful.

But in a flash Luo Hao threw them all out of his mind, thinking what's the point of those broken things, they would only slow down his sword-drawing speed!

However, technician No. 66 had completed the operation, so he had to watch it for a few hours just in case.

(End of this chapter)