White armor

Chapter 585 PUA? I'm also good at this
Luo Hao was also worried.

He knew that being hit by a car was not normal, but there was no other malicious intent, so Luo Hao did not plan to report it to his superiors.

In related scientific research projects, Luo Hao also tried his best to avoid some things, otherwise it would be very uncomfortable to have two people around him anytime and anywhere.

As the Chinese New Year is approaching, Luo Hao is thinking about what to bring to Wang Jiani's house.

This was a big deal. After thinking about it for several days, Luo Hao called Boss Lou and asked them to meet and discuss the matter.

Boss Lou is indeed a big shot. He has worked his way up in society and built his own business with his head held high.

Even though Boss Lou looked gentle and kind now, Luo Hao never looked down on him.

If it was someone else, Luo Hao might have had less contact with him and just nodded to him. But Boss Lou was very sensible and could do things very well when he asked him to do so, and he would not make any unreasonable demands.

He has a strong sense of propriety, and Luo Hao admires this very much.

After the operation and dinner, Luo Hao sat in a sunny position with his back to the wall and worked on his thesis.

The quality of papers at home and abroad has declined seriously recently. Luo Hao is helpless about this. He has not seen a meaningful paper for a long time and can only bite the bullet and pass the time.

Meng Liangren was reviewing the medical records written by Miao Youfang, Zhuang Yan was doing handicrafts, and Chen Yong was writing his thesis with a notebook.

The medical team is harmonious.

"dududu~~~"

Suddenly, an alarm sounded from the computer. This was the critical value alarm of the laboratory.

Luo Hao didn't care. There were sixty or seventy patients in the department, and most of them suffered from portal hypertension and were prone to vomiting blood. It was normal to call the police and there was no need to make a fuss.

Meng Liangren did not ignore it. He opened the window to check it out immediately.

"Boss, your patient's fibrinogen is 0.56g/l!" Meng Liangren greeted.

The hospitalized CEO was taking a nap during his lunch break. After hearing what Meng Liangren said, he opened his blurry eyes and yawned.

"I'll go and check. Are the PT and APT okay?" the resident manager asked Meng Liangren.

"It's okay. The four coagulation tests show that there is a problem with fibrinogen."

The resident manager bent down to glance at the test report, then strode to the ward to check the situation.

Luo Hao's heart moved, and he also took a look at the test results and the patient's medical instructions.

He seldom sees patients from other groups and is very well-behaved. Even if the treatment of others is questionable, Luo Hao won't say anything.

What is this? Meng Liangren thought what Professor Luo was going to do.

"Xiao Miao."

"Here!" Miao Youfang was very energetic.

After all, he was just in his fifth year of college, and he could get... an estimated 400 points in the postgraduate entrance examination. He also joined the team to work during the intermission period, and he could earn 20000 yuan a month. Miao Youfang was in high spirits.

The most direct thing is the 20000 yuan, which basically filled up his tank.

"Please take a look at this patient, the patient, medical records, and test reports. After reading them, tell me why the patient's fibrinogen is low and what treatment can be given to correct it." Luo Hao said lightly.

"Okay!" Miao Youfang said vigorously, and went to check on the patient with the resident manager.

Meng Liangren waited until Miao Youfang left before he smiled and said, "Professor Luo, do you think Xiao Miao is pretty good?"

"What do you think, Lao Meng?" Luo Hao asked back.

"Xiao Miao's medical records were written very carefully. Problems were pointed out and revised immediately. They will not be repeated again in the future... similar mistakes will not be made again. If you regard it as an intern or a resident trainee reviewing it, it is indeed not bad."

Meng Liangren thought about it and added the word "similar".

That's really good. You can draw inferences about other situations from one example. Luo Hao nodded slightly.

Zhuang Yan started to read the medical records. After finishing, she was confused. "Brother, isn't this a patient with portal hypertension and vomiting blood? Just prepare for the tips surgery. What did you say just now?"

"Go, go, go see the patients too." Luo Hao waved his hand.

"Oh." Zhuang Yan was not unhappy at all, she was just confused.

According to fellow student Luo Hao, there must be a problem in some link of the diagnosis and treatment process, but he just checked and there was nothing wrong.

Meng Liangren also fell silent. He knew that his foundation was not as good as Zhuang Yan's. Even Xiaozhuang didn't find the problem, so it was impossible for him to find it.

"You are really becoming more and more like a leader." Chen Yong said with a smile.

"It's OK, Xiaomiao... The first graduate student I accept is going to be my senior. I have to be strict with him, or it will be more troublesome in the future."

"Hey! Can you please stop making trouble? You are in your first year of medical school and you are being sent to study at Peking Union Medical College. You don't even know what you will be like in a few years."

"I can apply to the principal to stay by my side and I will teach you step by step. Senior brother, you need to make a sample for the junior brothers and sisters below. As for the final closed disciple, that will be many years later, so I can't think of it."

Chen Yong laughed, "Did you apply for a patent for the consumables you used to make the Huishi technique last time?"

“???” Luo Hao was stunned and looked at Chen Yong.

How could this guy make such rapid progress without making any noise?

In the medical team, Chen Yong is responsible for writing papers, and Luo Hao hardly cares about him, but Chen Yong now even knows things related to patent applications.

"I have already applied for it and it will be available in a while."

"When we promote the new urethral realignment technique, will you get a share of the money for every operation?"

"That's something that will happen many years from now, so I won't consider it for now. I just want to have more patents so that I can have something to say when I report on my work in the future."

"What patent?" Meng Liangren asked.

“Surgeons use a variety of instruments during surgery, and there are always some operations that are difficult to perform.

Personal experience: Every time I encounter a difficult surgery, I wonder if it would be better if there was some kind of device to assist?

This process requires independent thinking. I often need to drive to the provincial capital or other places for meetings on weekends. I will use this time to think about how to improve the equipment, and draw pictures myself in academic meetings to temporarily draw out the principles of the equipment I want to see if it is reasonable. "

Luo Hao explained slowly.

Anyway, he had to wait for Miao Youfang to come back, so Luo Hao didn't mind gossiping about some real stuff. Chen Yong's progress was really fast, and if he said more, maybe he could make it even faster, Luo Hao thought.

"I remember that at that time, some people still questioned the problem of homemade consumables."

"Homemade items are not a problem. They are very common. When I was in school, I saw many bosses making their own small operating room gadgets that suited their own habits."

"But few people apply for patents, and our domestic patent awareness is also very poor. So let's leave it at that. I'll make something and fill it in the personal information later to make it look more complete. By the way, Chen Yong, how did you come up with this?"

"I want to modify the guide wire and am contacting the manufacturer to see if they can customize it for me."

Luo Hao smiled. Chen Yong matured very quickly. He was a very talented person.

After a while, the resident manager strode back and began to give medical instructions.

Luo Hao was not in a hurry and looked at Miao Youfang.

Although Miao Youfang didn't understand, he still reported the patient's medical history in a proper manner, describing the situation on the scene and the emergency first aid provided to the hospitalized CEO.

The hospitalized boss felt uncomfortable after hearing this.

After all, most people would feel uncomfortable if someone stood by and watched them work.

The most important thing is that Miao Youfang actually noticed several details that he himself hadn't noticed.

But he said nothing, let alone questioning. Even Director Shen in the department was very polite to Professor Luo. As a hospital manager, he would rely on Professor Luo a lot in the future.

He checked his medical instructions and rescue process more carefully, thinking that he must not let Professor Luo use his medical records as a negative example.

He can't be compared to Miao Youfang.

After Miao Youfang finished speaking, Luo Hao smiled and said, "Tell me, what is the problem?"

Miao Youfang remained silent.

His eyes were complicated and hard to describe.

Luo Hao didn't say anything, but just looked at Miao Youfang with interest. This young man was like a stubborn little animal, full of wildness in his silence.

After a few seconds of silence, Miao Youfang said softly, "Teacher Luo, the patient's diagnosis is clear and the treatment is appropriate. These are common clinical diseases and commonly used treatment measures. Vomiting blood and low fibrinogen are caused by the progression of the disease. I think emergency first aid is enough. I don't think there is any key point that will affect the patient's treatment."

Chen Yong, Meng Liangren and Zhuang Yan all looked at him in surprise. This statement was too confident.

Is this the ability to score 400 points in the postgraduate entrance examination?

Meng Liangren felt that he should talk to Xiao Miao when he had time, and it was not good to be so stubborn.

Professor Luo had a bright smile on his face. It was obvious that he had found the problem, and this problem was a small point that was extremely easy to be overlooked.

It is easy to be overlooked, there is no rush to talk about it, and it is the key point.

With these conditions combined, Meng Liangren was ready to review the doctor's instructions again. But Xiao Miao actually gave him his own answer directly, without thinking about what Professor Luo was thinking at all.

Luo Hao nodded, "Xiao Miao, come, let's take a look at the boss's medical instructions together."

The hospitalized CEO shuddered and almost entered the Sage Moment.

What is supposed to come will eventually come.

Luo Hao walked to the computer, inserted his "U" disk, found the patient's name, clicked in, and directly read the doctor's instructions.

"To put it simply, there is something wrong with this medicine."

The mouse in Luo Hao's hand fell on the white-browed snake venom hemocoagulase.

"Stop taking the hemocoagulase from the white-browed snake venom, and the fibrinogen will soon return to normal."

"!!!"

"!!!"

"!!!"

The office fell silent.

Everyone originally thought that Professor Luo would write a lot of things on the blackboard for people to learn, but they didn’t expect him to be so direct this time.

However, hemocoagulase from white-browed snake venom is the most common hemostatic drug. It has been used in clinical practice for more than 20 years. It has good efficacy and is not expensive, so it is considered a commonly used drug.

Meng Liangren is older, and he still remembers that when he first started working, the old doctors subconsciously said "Baquting".

Batuxin is the earliest trade name of the white-browed snake venom hemocoagulase. Although it has been withdrawn from clinical use for a long time, it still remains in people's memory as a symbol with historical imprint.

Is there something wrong with this medicine? This shouldn't be the case. Lao Meng fell into deep thought, trying to search his memory for something about Baquting.

Unfortunately, there wasn't much content to refer to, and Lao Meng was a little confused. Miao Youfang frowned, as if he was recalling something.

Meng Liangren pushed the table with his hand and slid the chair to his computer. He opened the drug instructions and began to look at the instructions for white-browed snake venom hemocoagulase.

"Brother, this medicine... I remember there is no mention of lowering fibrinogen in the contraindications." Zhuang Yan asked directly.

"Oh? Then tell me what you think." Luo Hao smiled.

The resident manager didn't even think twice and just clicked to stop the doctor's order.

Anyway, today's medicine has been used up. If Professor Luo is right, we should stop taking it immediately. If Professor Luo is wrong, we can just take more.

“1. Bleeding from damaged arteries and large veins must be treated surgically in a timely manner.”

“2. Disseminated intravascular coagulation, also known as DIC, and bleeding caused by blood diseases are not indications for white-browed snake venom hemocoagulase.”

"3. When the blood lacks platelets or certain coagulation factors, such as prothrombin, white-browed snake venom hemocoagulase has no compensatory effect. It is advisable to use white-browed snake venom hemocoagulase on the basis of supplementing platelets, the missing coagulation factors or transfusing fresh blood."

"4. In cases of primary fibrinolytic system hyperactivity, such as endocrine glands, cancer surgery, etc., white-browed snake venom hemocoagulase should be used in combination with anti-fibrinolytic drugs."

Zhuang Yan recited the drug instructions in detail.

The hospital manager was stunned. Zhuang Yan could even recite this!

As for it?
As for what!
A month or two ago, he saw Zhuang Yan asking the nurse for the instructions for all the commonly used medicines in the department. He thought she had to review them frequently, but he didn't expect that she really memorized them.

Oh shit!

The master's degree graduate from Peking University Health Science Center is really awesome, the resident manager thought to himself.

At this time, the label of Zhuang Yan as the dean's daughter had begun to become blurred. Even people around her found it difficult to imagine that someone who could memorize clinical drug instructions and use them at will actually had a strong background.

"Okay, that's the fourth point. Go back and look up the book, pharmacology."

"???"

Zhuang Yan concentrated and wrote this down, but she had something important to ask.

"Brother, I have always had doubts about this medicine."

"You said."

"Why is he called Baimei? Is that the Great Hero Baimei? It's easy to remember, but it's a bit weird, don't you think?" Zhuang Yan asked while swinging her high ponytail.

Luo Hao was also stunned. He never expected that Zhuang Yan would ask such a stupid-sounding question.

After calming down, Luo Hao replied, "Because you have problems with your punctuation."

"Ah?" Zhuang Yan didn't expect Luo Hao to answer her question like this.

"The venom of the white-browed snake is called white-browed snake venom, not white-browed, snake venom."

"..."

"There will also be snake venom in the future, which will be used to stop bleeding." Luo Hao said.

"!!!"

Zhuang Yan felt relieved, because it turned out that she had made an almost idiotic mistake.

"Teacher Luo." Miao Youfang looked puzzled and asked, "Can you explain it in detail?"

"I'll explain it briefly, and you can go back and look through the book yourself."

"The patient originally had low albumin, which was consumed after using the white-browed snake venom hemocoagulase. The liver could not synthesize it in time, which aggravated the hypoproteinemia.

You can learn on your own how fibrinogen is produced and what biochemical reactions it undergoes in the body.

From the routine stool test, the stool is still soft, not mushy. You need to see it with your own eyes, because the laboratory usually describes it as soft stool, which cannot be trusted.

As for the rest, there are too many for you to remember, so you should first clarify the issue I just mentioned. "

Miao Youfang was stern. He took a ballpoint pen marked with "Meng Liangren" and wrote down everything Luo Hao said, even the routine contents that had nothing to do with white-browed snake venom hemocoagulase.

"Fuck, Professor Luo, I get it!" The resident manager was surprised.

"It's not very common, but not rare either." Luo Hao smiled. "As long as you know about this, you can handle it yourself next time you encounter it."

The resident manager was busy reorganizing the doctor's orders and preparing to make a note in the medical record.

Unconsciously, the hospital manager has also developed some good habits.

"Luo Hao, why do I feel like you are doing PUA to Xiao Miao?" Chen Yong looked at Luo Hao while wearing a mask.

"pua?"

"Yeah, you're a teacher, but you can't speak nicely." Chen Yong expressed his dissatisfaction.

"Well, if I were to pua him, I wouldn't talk like that." Luo Hao said.

"Then what do you say?"

"Ahem~~" Luo Hao cleared his throat and snapped his fingers. Erhei walked towards Luo Hao with a heartless step.

Luo Hao did not stand up, but leaned back in his chair, crossed his legs, his face full of disdain, pity for the other's misfortune, and anger at the other's lack of resistance.

The expression is just right, Oscar-worthy.

"Xiao Miao, I am actually a little disappointed in you."

"!!!" Miao Youfang was stunned. Is Professor Luo serious or just showing off how to pua himself?

For a moment, Miao Youfang felt a little panicked and confused.

The main thing is that Luo Hao's expression and tone are so genuine that it is difficult to tell whether they are true or false.

"When we recruited you and made you our senior brother, we were doing better than you did in the written test and interview. Is 400 points on the written test a high score? Not necessarily, at least not in PUMC. Why did you get a high score and ranking? It's because the real geniuses were recommended for admission, not because of how good you are."

"I hope that after you come in, you can work hard and grow quickly."

"I don't care about other people's graduate students. You are my Luo Hao's research lab, and you are also my senior brother. In this position, it is not enough to just do things well. You need to have the ability to think systematically, and this is exactly what you lack."

Gan!
Chen Yong was stunned.

All the nonsense Luo Hao said sounds reasonable, but if you think about it carefully, it's just pua.

But everything was just beginning, Chen Yong had not seen what real PUA was. Luo Hao's next words reshaped Chen Yong's three views. Luo Hao was really good. How many times of PUA did he go through before he mastered this set?

"What is the value of what you do? Have you created a technical barrier and formed core competitiveness?"

“Is what you do different from other medical teams and doctors within the medical group or department, hospital, or medical industry?”

“Have you accumulated a set of reusable physical data and methodologies for what you have done?”

"Why do you do it? Can't someone else do it? You need to have your own judgment, but for this patient, I don't see where your methodology is."

Miao Youfang lowered his head, looking conflicted and aggrieved.

The stubbornness of the little beast just now disappeared completely.

Chen Yong's mask was stretched open. He didn't expect that Luo Hao, who was always gentle as jade, could say so many pua words.

Zhuang Yan frowned in thought. Seeing Luo Hao pause, she immediately replied, "Brother, what you said makes sense. I will think about it when I get back."

Hey!
Luo Hao was amused.

"Xiao Zhuang, this is the basic routine used by leaders of large companies to pua their subordinates. Everything can be used in it. There is more to it, but I won't tell you. You don't have to take it seriously. I'm just saying it casually to tell Chen Yong what pua is."

"..." Zhuang Yan was thinking seriously, "Brother, but I think you are right."

"!!!"

Luo Hao regretted saying these things. Such a good kid was actually brainwashed.

It seems that Zhuang Yan is indeed very suitable to work as a cow and horse in a big factory. This kind of self-brainwashed cow and horse is a natural holy body among cows and horses, a nuclear-powered donkey.

"Xiao Zhuang, you're overthinking. Don't think too much. Go and take Xiao Miao to look up some books and find out the mechanism of action of the hemocoagulase in white-browed snake venom, especially the mechanism of action that causes a decrease in fibrinogen in patients with hypoproteinemia."

"Similar cases don't happen often in other departments, but they happen more often in our department. It can be said to be a common disease, and we have to master it."

Luo Hao warned.

"Okay!" Zhuang Yan instantly put what she had just said behind her.

Luo Hao looked at Zhuang Yan's heartless appearance and always felt that something was wrong.

Could it be Zhuang Yongqiang's family tradition? Or something else? Or was it that Zhuang Yan was simply flattering him and she didn't really care?
Luo Hao didn't understand, and didn't try to understand. He turned his head and looked at Chen Yong leisurely, "Here, this is PUA."

"Well, if someone from a big company talked to me like this, I would have turned hostile a long time ago. What kind of person is this? A bunch of nonsense, and yet he acts so righteous. I'm going to go home and stab some villains!" Chen Yong shrugged.

"Don't worry, most of the leaders in large companies are women now, you will be treated preferentially."

"Hahaha~~~"

Chen Yong was not ashamed but proud of it, and he agreed deeply with Luo Hao's words.

There was a commotion outside the door. Before Luo Hao could say anything, Meng Liangren stood up and strode out to see what was going on.

Luo Hao pricked up his ears. He probably understood what he heard. It should be the patient's family who wanted to complain about the nurse.

That's how it is in the hospital, it's a mess every day.

It's just a complaint, and the patient's family members were vague about it. It shouldn't be a big deal. They just went to the head nurse to vent their emotions.

If he wasn't afraid of the explosion of short videos, Luo Hao would like to install a fortune-telling robot in the department to say some auspicious words every day, which could largely alleviate the anxiety of patients and their families.

After a few minutes, Meng Liangren came back. He closed the door first and walked to Luo Hao.

"Huh? What's wrong, Old Meng?" Luo Hao was a little surprised. Meng Liangren's expression looked a little strange.

"Puchi~" Meng Liangren couldn't help but laughed out loud.

"Old Meng, is there anything exciting outside?" Zhuang Yan was about to go out.

"Xiao Zhuang, the head nurse is talking to the patient's family, don't go." Meng Liangren called Zhuang Yan, "Professor Luo, isn't there a new nurse in the department?"

"Yes, I remember I just graduated from a technical secondary school. There are very few students from technical secondary schools nowadays. It seems that after graduation, I have to take an exam to go to a junior college." Chen Yong took over the conversation.

It seems that some things have become Chen Yong's instinct. Luo Hao glanced at him.

Although Chen Yong was not interested in teasing the new 18-year-old technical secondary school nurse in the department, he had already known what was going on.

"What happened to the nurse?"

(End of this chapter)