White armor

Chapter 555 What? The tumor is actually gauze

There was a lot of commotion in the room. Luo Hao put Dahei down and rubbed him. "Let's go see the red-crowned cranes?"

"Okay." Wang Jiani responded.

Luo Hao tightened Wang Jiani's military coat and said, "You must wear the military coat. Although it is a bit ugly, it is warm. It doesn't matter whether it looks good or not. There are animals in the world, and their concept of beauty and ugliness is different from that of humans."

"What I learn from you is becoming more and more practical. I remember you were not like this before." Wang Jiani said with a smile.

"Of course, practicality is the best. Medical beauty cannot be done. It must not be done." Luo Hao whispered, "Current medical beauty has no long-term efficacy. No one knows if it will collapse in the future."

"I know, I know." Wang Jiani shook her head, and it seemed that she had let it go, with her little hair trembling.

Luo Hao walked slowly in the hall. It was very lively around him, but his heart was very peaceful.

How wonderful it would be if life could always be like this.

……

A few days later.

Yang Jinghe is watching a movie.

"The tumor looks a bit strange. What did they say about radiotherapy at the provincial hospital?" Yang Jinghe pushed his reading glasses, took them off and rubbed his eyes.

"They said it was too big and the surrounding lymph nodes were enlarged. They said chemotherapy + radiotherapy would be needed, and surgery could be done after the tumor is shrunk," the patient's family replied.

"Strange, something doesn't look right." Yang Jinghe closed his eyes and calmed down.

I watched the movie too seriously just now and my eyes are a little sore.

People still have to accept that they are getting old. Recently, my eyesight has become blurry. I can only see far away when I urinate close up. My face is haggard and my hair is light.

This all happened inadvertently.

By the time Yang Jinghe reacted and noticed in the mirror that she had aged, her wrinkles were already deep.

"They said that Director Yang's treatment is the best in the province and that you can also do particle implantation and internal radiotherapy," complimented the patient's family.

Yang Jinghe sneered in his heart, this method of pushing the patient was not clever at all.

"It doesn't look like a tumor to me. Even if it is, it may not be malignant. Wait for me to find an expert to show you the film."

"Master?" The patient's family members were full of hope.

Yang Jinghe called and looked at the time. It was lunch time. He picked up the film and said, "Let's go."

I went to the interventional catheterization room and called Luo Hao out.

"Xiao Luo, please give me a look." Yang Jinghe said.

"Director Yang, please come in and look at it under the film viewer." Luo Hao greeted.

Yang Jinghe didn't hesitate and put on shoe covers and entered the interventional catheterization room.

"Xiao Luo, your surgery is really as good as that performed by a machine. I heard that you finish the surgery at this time every day?" Yang Jinghe praised.

Providing emotional value also requires substance. Just this detail alone, few people in the hospital know about it except the doctors and nurses in the interventional department.

This shows Yang Jinghe's intentions.

"Well, it's just a routine operation. It's not difficult." Luo Hao said with a smile, "It's a simple task."

Simple?
Yang Jinghe knew it very well, but most people wouldn't dare to say that.

Professor Xiao Luo dares to say this because his level has crushed everyday diseases.

"Xiao Luo, I heard that you had surgery these days?"

"Oh, the patient with esophageal atresia, yes."

"I have to tell you. You should have told me earlier. I applied to the hospital for another CT machine for the particle implantation."

"Is there a place?" Luo Hao asked.

"The crying child gets the milk, and the one who doesn't cry gets nowhere." Yang Jinghe said with a smile, "Don't worry, there will definitely be a special particle implantation room before you go to 912. You will definitely be the first director by then!"

“……” Luo Hao scratched his head and looked at Yang Jinghe deeply.

Although the title of director is just an empty title and he doesn't seek anything for it, he would probably throw a tantrum if he disagrees with Yang Jinghe.

When it comes to shamelessness, Yang Jinghe has the best sense of proportion. He can be shameless and still achieve his goals.

"Click~~"

When the film was inserted into the film viewer, Luo Hao frowned.

It did look like a tumor the size of an egg, but based on the density analysis, Luo Hao didn't think it was a tumor.

“I don’t think it’s a tumor.”

"I think so too." Luo Hao crossed his arms and looked at the film. "Is the patient here?"

"He is hospitalized in the provincial hospital. He recommended that he come to me for particle implantation to shrink the tumor first and then perform surgery when it meets the surgical criteria."

Luo Hao looked at it for a few minutes and finally shook his head. "It doesn't look like it. Have you done any other tests?"

"No."

This is a bit difficult.

Luo Hao looked at it for a while and took the film off. "I support your judgment, Director Yang. Considering it is not a tumor, I recommend a puncture biopsy."

"Okay."

Yang Jinghe went out with the film. As soon as he opened the door, he saw a sturdy woman standing at the door. Judging from her skeleton, she could fit Yang Jinghe inside.

"Professor Luo ordered the meal." The woman had a bad attitude, put the food down, turned around and left.

"What's your attitude? Whose delivery man are you?" Yang Jinghe was immediately unhappy.

Luo Hao pulled Yang Jinghe and said, "Director Yang, let's eat together later."

"Xiao Luo, you have such a good temper." Yang Jinghe glared at the woman deeply.

She had never seen such a clumsy delivery man before, and the clothes he wore were not formal, neither yellow nor blue. Whose delivery man was he? Yang Jinghe was puzzled.

Luo Hao chuckled and asked someone to bring in the food.

Ever since they had the Buddha Jumps Over the Wall meal, the nurses in the catheterization room have been asking Luo Hao to order meals.

It’s not that the Buddha Jumps Over the Wall is missing, but the takeaway from this restaurant is really delicious.

The key point is that the food is delivered by someone other than a delivery man, and there are no plastic boxes or plastic bags. It looks clean at a glance.

Luo Hao did not refuse, and asked Zhang Qiuheng to cook and deliver food to him every day at noon during the past few days.

Yang Jinghe said a few words to the patient's family, and the fragrance came out through the crack in the door.

Originally, Yang Jinghe didn't want to eat and drink for free. Other departments were having lunch, so why should a senior director like him join in the fun?

But it smells so good!
After talking to the patient's family and explaining his intentions, Yang Jinghe went back.

"Director Yang, come and have a bite." Luo Hao greeted him warmly, "I have classes in the afternoon, so I'll eat quickly. I have to read a book when I go back later, so I won't be polite with you."

"Do you have to read books in class?!" Yang Jinghe was stunned.

"Oh, students nowadays are very smart and ask weird questions." Luo Hao said as he was eating his food. "If you don't read the book carefully and think about it over and over again, it will be meaningless if you get stumped by the question."

Yang Jinghe took two bites and was sure that this was definitely not the taste of takeout.

But he didn't say much. Xiao Luo had his own ideas. As an outsider, it was best for him to pretend to be confused at this time.

The food tastes really good, not the kind that requires the addition of technology or hard work.

"I'm done." Luo Hao put down his bowl and chopsticks, and said to Yang Jinghe with a smile, "Director Yang, take your time eating. I'll go prepare lessons."

"go Go."

"By the way, Director Yang, I think the patient whose film we just looked at should still undergo an X-ray."

perspective?

"Then I'll be leaving!" Luo Hao hurried to prepare for class.

This is too serious. When teaching medical students, everyone just fools around a bit, teaches some clinical knowledge, tells some jokes, and has fun, and the class time passes in a flash.

I've never seen Ronaldinho so serious.

When Yang Jinghe saw Luo Hao hurriedly leave after eating to prepare things for his lectures to students, the atmosphere in the catheterization room's lounge suddenly relaxed.

Generally, everyone behaves more reserved when the director is around, and starts talking and laughing only after he leaves.

Unexpectedly, upon closer observation, Professor Xiao Luo had actually surpassed Shen Zizai in the eyes of the doctors and nurses in the catheterization room.

"Director Yang, please eat more vegetables." The head nurse handed a serving chopstick to Yang Jinghe to pick up some vegetables.

Yang Jinghe laughed secretly in her heart. Did Luo Hao only notice her after he left?
"You're welcome. Eat, eat, eat." Yang Jinghe said with a smile, "Professor Xiao Luo orders meals every day?"

"Oh, didn't the ICU admit two patients a while ago?"

"These two students love to eat spicy hot pot. I guess 5a powder is added to the spicy hot pot."

"Fans? 5a?" Yang Jinghe felt that he had become out of touch with this era. He had only heard of 5a scenic spots, but had never heard of 5a fans.

What is this.

"It's just an additive, a masterpiece of technology and hard work." Another nurse explained to Yang Jinghe, "Add a little bit of 5a powder to a plate of fried rice or spicy hot pot, and it will smell good, taste good, and have a good aftertaste. It's simply amazing, it can make people dizzy with the fragrance."

"Oh? What does it have to do with ICU?" Yang Jinghe asked.

"After eating that thing, you feel thirsty. It's full of technology. It's said to increase the burden on the liver and kidneys. Some people have been hospitalized for liver and kidney failure after consuming too much."

"Since then, I have refused to order any takeout, but I can't get up in the morning and cook."

The nurses complained one after another, and Yang Jinghe felt horrified.

Especially when someone said that the ramen restaurant opposite the hospital had clear soup but tasted particularly fragrant and had a long aftertaste, Yang Jinghe remembered that she often went there to eat.

I originally thought it was made from old soup, but I didn’t expect that there is such technology and hard work as 5a powder that can achieve the effect of old soup.

Alas, shouldn't technological progress benefit mankind? How come eating too much has put people in the ICU?

"Let's not talk about that. I drank prune juice when I had constipation a few years ago. It was very effective."

They are all doctors and nurses, so even if they talk about shit, piss and fart while eating, no one cares.

“Who would have thought that a few days ago I heard someone say that the reason prune juice can cure constipation is because it contains senna leaves!”

"Can I just prescribe senna myself? Why do I have to buy prune juice? The price will be several times higher!"

Hearing the nurse's complaint, Yang Jinghe smiled slightly.

A few years ago, I heard people say that prune juice was good for constipation, and I knew that something must be added to it.

As for what was added, it’s hard to say.

"By the way, have you heard that something seems to have happened to Professor Lei?" Suddenly someone started gossiping.

The head nurse quickly gave her a look.

Yang Jinghe frowned, his eyes almost popped out of his head. He knew the head nurse was talking because of him, so she wanted the nurse to stop talking. "What happened to Xiaolei?" Yang Jinghe asked calmly.

"Didn't he say a few days ago that he had an illegitimate child in the next city? As a result, his wife sued him for bigamy and sentenced him to two years in prison."

"He has neither enough IQ nor EQ, yet he thinks he is a great professor at a medical university. What an idiot. Doesn't he know what kind of person he is? Professor of a medical university, professor of a medical university, he is a shitty professor." Yang Jinghe cursed.

When the gossiping nurse heard what Yang Jinghe said, she immediately shut up.

The person with the most scandals in the hospital is Yang Jinghe. Wasn't he calling a bald man in front of the monk?

"It's not that you can't have a child, but you have to add your own name in the parents column. Don't you think he is an idiot?" Yang Jinghe didn't care and started to criticize directly.

"Director Yang..." the nurse said embarrassedly.

"You are ignorant of the law and have never studied it. I tell you, even if you take out the surveillance video of Xiao Lei and spread it online, you will be the one who suffers in the end."

"Why!"

"Cheating is not a crime, and there is no way to file a criminal case." Yang Jinghe explained to the nurse while eating, "But spreading personal privacy on the Internet is a crime. If someone messes with me, I can sentence him to five years in prison for this matter."

The originally bustling lounge suddenly became quiet. Everyone lowered their heads to eat, thinking about what Yang Jinghe had said.

Especially the five years mentioned by Yang Jinghe, it is obvious that he has done in-depth research on this.

"You are ignorant of the law. You don't even know the rules before doing anything, but you still rush forward? I said that doctors like Professor Lei who only know how to write papers are not good. See." Yang Jinghe said contemptuously.

"Director Yang, aren't they actually the same?" a nurse argued.

"You can look down on me from a moral high ground, but you cannot judge me. Besides, there are gossips all day long, but they will disappear if you don't listen." Yang Jinghe said slowly.

The head nurse kicked the talking nurse several times under the table to tell her to shut up.

Yang Jinghe saw it clearly and was too lazy to argue with these nurses.

For Xiao Luo's sake, I can't get angry if something goes wrong.

Each and every one of them is ignorant of the law and has no idea what they can and cannot do.

Yang Jinghe felt contempt.

I want the red flag flying high at home and the colorful flags flying outside to look beautiful, but it is not that easy. If you don't study anything, what is your brain for?

After dinner, Yang Jinghe left.

Thinking about Luo Hao in my heart, it has only been less than a year, and Xiao Luo has become the uncrowned director through punching and kicking.

This guy does have some skills.

Before leaving get off work in the afternoon, a patient who wanted to see X-rays came to the door.

Yang Jinghe felt a little annoyed. In his opinion, it was obvious that the provincial hospital had spent all the medical insurance quota and then kicked the patients over.

Can I take on this job? What a joke!
Yang Jinghe was too lazy to explain and asked the patient to be admitted to the surgery department and then sent the person away with a cold face.

However, he was also curious about what was in the patient's stomach. After the patient left, Yang Jinghe turned on the computer and found the gastrointestinal surgery department to monitor their inpatients.

Not long after, I saw the patient going through the admission procedures.

It must be that the professor in charge of the group has not performed many surgeries recently, so when he saw the tumor, he just took it away.

Soon, Yang Jinghe received a call from Chen Yan.

Chen Yan was very unhappy on the phone. Yang Jinghe went to Chen Yan with the intention of watching the fun, ready to see how he would solve the problem.

"Director Yang, you are too rude. The provincial hospital has used up all the medical insurance quota, and if you consider that it is not a tumor, why did you let her come to our surgery department?"

"It has to be cut off. No matter whether it is benign or malignant, it will have to be solved by surgery in the end." Yang Jinghe said indifferently.

When it comes to yin and yang, Yang Jinghe is a master.

But he also knew that what he did was a bit problematic, so he didn't ridicule Chen Yan, but just watched the fun.

The next second, Chen Yan picked up the phone.

"Xiao Luo, you saw a patient at noon, remember?"

"What! What are you thinking about?!"

"Fuck! Why didn't you say so earlier!!"

Chen Yan cursed loudly and Yang Jinghe was stunned. During lunch, Luo Hao was in a hurry to prepare for class and said that the egg-sized object in the patient's abdominal cavity was not considered to be a malignant tumor, but he did not say what it was considered to be.

"Come quickly!"

After saying that, Chen Yan hung up the phone angrily.

"Director Chen, what did Xiao Luo say?" Yang Jinghe asked.

"What do you think?" Chen Yan did not answer, but asked back.

"The patient has a history of surgery. I think it's an organized hematoma."

"Tsk." Chen Yan curled his lips and looked at Yang Jinghe sideways, "It's gauze! I was wondering why that thing looked weird."

gauze?!
Yang Jinghe was stunned for a moment.

He suddenly remembered that Luo Hao had asked him to do an X-ray of the patient.

The gauze used in clinical practice nowadays is all developable, with a blue stripe on the gauze that can be seen under fluoroscopy.

Damn it, I didn’t pay attention to it at the time and forgot about it.

Thinking that he had actually forgotten Luo Hao's instructions, Yang Jinghe broke out in sweat on his back.

"The retired director of the provincial hospital performed the surgery eight years ago." Chen Yan calmed down, twisted the hair on his heart, and muttered to himself.

"Old Zhao?"

"Well, we had a good relationship before, and he taught me surgery." Chen Yan's face darkened.

No one wants to touch this kind of crap.

We meet each other every day. If you meet someone, what should you do if he or she makes some unreasonable demands?
In fact, it is highly likely that no one will mention it, after all, everyone has a scale in their heart.

But what if?
The two people in the office were thinking about their own things. After a while, Luo Hao pushed the door open.

"Director Chen, Director Yang."

"Xiao Luo, you said it was gauze?" Chen Yan asked directly, "But on the CT scan..."

"That's right, Director Chen. After the gauze ball is left in the abdominal cavity, it is first tightly adhered and wrapped by the greater omentum and the adjacent intestine. From the adhesion between the intestine and the gauze ball, it gradually expands to the surrounding area to form a fibrous connective tissue capsule until it completely wraps the gauze ball.

At this time, the capsule is rich in blood vessels and has obvious congestion, which is a manifestation in imaging.

As time goes by, it gradually grows into the mesh of the gauze ball, causing the capsule to gradually thicken.

The body also produces a large number of foreign body giant cells in the capsule to surround and destroy the foreign body yarn, causing an abscess to form inside the capsule. When the capsule is fully formed, the adhesion between the intestine and the gauze ball becomes loose, and the gauze ball has a certain degree of mobility.

At this time, it is another manifestation in imaging."

"Xiao Luo, what do you think of the other tests?" Yang Jinghe asked with a serious face.

He took it seriously this time, after all, he made a mistake.

"The imaging manifestations of gauze balls left in the abdominal cavity are more characteristic with B-ultrasound, which mainly manifests as: a black mass with a special rate of reduction in the abdominal cavity or pelvic cavity, accompanied by a fan-shaped attenuated acoustic shadow at the back, which is narrow at the top and wide at the bottom, like a "big black cloth".

In the early stage, the mass contained irregular light clusters or spots, which shrank or disappeared over time, indicating that they were gas in the gauze mass.

"The advantage of CT is that in the early stage, it often manifests as a mass with soft tissue density, with varying numbers of bubbles visible inside. As time goes by, the bubbles are gradually absorbed, reduced, and finally disappear. Enhanced scanning can show varying degrees of enhancement of the capsule but no enhancement of the contents. Being familiar with its imaging manifestations can make a clear diagnosis before surgery."

"But this is a method from more than a decade ago. Now all the gauze used in clinical practice is radiopaque. If you have any doubts, you can just do an abdominal X-ray and you'll know."

After Luo Hao finished speaking, he slightly turned his head and glanced at Yang Jinghe.

He had long guessed that Yang Jinghe and this guy probably did not do what he said, but Luo Hao did not complain, nor did he point it out and put the responsibility on Yang Jinghe.

He just glanced at it, without any complaints, with a calm expression, as if he was just passing by unintentionally.

When Yang Jinghe was ready to stand up and be beaten, Luo Hao's gaze had already moved away.

"Well, I'll take the patient to get an X-ray and write a good medical record. By the way, where did the patient have his previous surgery?"

"Provincial Court."

Luo Hao thought for a moment and asked, "Director Chen, what do you think?"

Chen Yan found the situation a bit tricky. He thought of many solutions but it seemed that there was only one way.

"If you don't know the surgeon, schedule the surgery at a later date. If you know the patient, why don't you take a sick leave?"

"..."

"..."

"I saw that there might be a problem, so I asked the interventional department for a consultation. I wrote a consultation record and took the patient to do an upright peritoneal dialysis. I thought it was the gauze. I explained the patient's condition to the family, and then performed emergency surgery to remove the gauze."

"Slow diagnosis is fine. Do you think you will have a heart attack tonight?"

That's right to say...

Chen Yan twisted his heart hair and looked at Luo Hao deeply.

Luo Hao gave Chen Yan a smile.

Yang Jinghe sighed in her heart, Xiao Luo is really capable of taking on things!

This kind of offensive work was avoided as much as possible, and Xiao Luo immediately thought of letting Chen Yan take sick leave and taking on the responsibility himself.

Director Xiao Luo can handle it!

"This is my fault." Yang Jinghe said calmly, "Count me in for the consultation, after all, I was the one who referred him here."

"Huh?" Chen Yan was stunned.

Yang Jing and this old rascal always rush forward when there is good news, but hide away when there is bad news. What happened today?

"Xiao Luo told me to do an X-ray of the patient, but I didn't realize it was gauze, so I overlooked it." Yang Jinghe told the truth without hiding anything, "Let's add a consultation and say that I suggested the patient come. This way, the medical record will be more concise."

Chen Yan grabbed the heart hair fiercely and pulled it out little by little.

The slight pain made him more awake.

"Let's do a X-ray first and take a look at what it is." Chen Yan made the decision.

"Director Chen, it's not easy to take sick leave after reading this."

"This is the fault of the provincial hospital. The patient kicked us over. We gave them face. Don't you know who is the boss of the province?!" Chen Yan cursed. "Why take sick leave? The surgery should be done in the emergency room. I will report to the medical department after the operation."

Luo Hao scratched his head and it seemed to be possible.

He didn't care about it. He performed the operation normally, diagnosed the pathology normally, and explained the situation to the patient's family normally.

As for the rest, it was all the provincial hospital's trouble. It was their fault for leaving gauze in the patient's abdominal cavity during the operation.

After taking the patient to the X-ray room, Chen Yan saw traces of gauze with his own eyes.

(End of this chapter)