White armor

Chapter 589 First Lesson
Miao Youfang was stunned.

But Lao Meng didn't say anything. He just pressed the acupoints and chatted with the patient about something to relieve the patient's tension.

"What's going on?" Luo Hao took off his lead suit and threw it to the robot dog beside him.

A nurse explained the matter to Luo Haozi in detail, mixed with a lot of speculation, such as that the patient came to the emergency room in the early morning, had threatened miscarriage, and could not be saved.

She didn’t know if she had any family members, so she didn’t have an abortion and was waiting until someone bought her a bottle of water. After drinking it, she had a miscarriage. Now she wants to sue the person who bought her the water.

"Is that so?" Luo Hao stretched his body and said lightly.

"Professor Luo, don't you think this kind of person is too much?!"

"Not bad." Luo Hao replied calmly.

Miao Youfang was stunned for a moment and looked at Luo Hao. Luo Hao's expression was indeed very dull, as if he was completely uninterested in this matter.

This kind of person takes advantage of other people's kindness to commit fraud, and the people he deceives are those who are kind to him. Shouldn't he be reprimanded?

If society is full of people like this, what fairness and justice will there be in the future?

"Old Meng, thank you for your hard work." Luo Hao walked over and said politely to Meng Liangren.

“You know what, I didn’t think much of it when robots first appeared, but now that they’re gone, I’m a little uncomfortable.” Meng Liangren said with a smile.

"It's either dead or it's back in the factory for repair. It's normal for a newly developed AI robot to be unstable."

Meng Liangren smiled and said nothing.

Just the venue maintenance? Professor Luo must have something he didn't want to tell me.

Although Meng Liangren was curious, he didn't ask any gossipy questions. He knew that if Professor Luo said something, he would listen. If he didn't say anything, he would just shut up and not ask.

"Teacher Luo, I have something I want... want..." Miao Youfang came in front of Luo Hao and said respectfully.

But he didn't know what to say next and was a little hesitant.

Luo Hao glanced at Meng Liangren.

"We met the patient who had a miscarriage when we came here. Xiao Miao wanted to buy her a bottle of ice water, but I stopped her. There is still a video on my phone. It shouldn't be easy for her to bite us."

Old Meng's work is indeed flawless.

Luo Hao smiled, "Don't think too much. If you want to help others, just do your job well. There's no need to do anything else. It's easy to cause complications and mistakes."

"Teacher Luo." Miao Youfang's mask moved, and no one knew what expression he had now. His eyes were staring at Luo Hao, firm but confused.

"Then come with me." Luo Hao invited Miao Youfang to the locker room.

"Have you read "Diary of a Madman"? " Luo Hao asked directly.

"Save the children? Are all of them cannibals? Or..."

"It's good to have seen it." Luo Hao laughed, "Don't think too much, like I'm also a human being, they want to eat me or something like that."

"..."

Miao Youfang was puzzled.

"The most terrifying thing is the ending. The madman was cured and became an official."

"..."

"Does everyone who puts technology and hard work into food think this way? Not necessarily. Most likely, the original intention was - I would rather not make money than have a conscience.

Later I found out that I really couldn't make money. Bad money drives out good money, so I ended up just going along with the crowd. It sounds a bit harsh to say "going along with the crowd", so I'd better say "be in harmony with the world".

Miao Youfang was stunned. He never expected that Professor Luo would analyze the matter from such a unique angle.

"Don't think too much, it's meaningless." Luo Hao said, "Just stick to your original intention and be nicer to all patients. Every step and every detail must be refined. Let's see how long you can persist."

"I won't say much. If I say more, it will sound too much like a father. Zhang Xuefeng said that doctors can't make money if they have a conscience. He is actually right."

Luo Hao looked at Miao Youfang, his voice a little low.

"Teacher Luo." Miao Youfang was a little confused.

"Let me give you an example." Seeing that Miao Youfang was still a little confused, Luo Hao changed his clothes and sat down and said, "Recently, the Dongguan Provincial Hospital of Traditional Chinese Medicine published a paper on the treatment of cerebral hemorrhage in The Lancet."

"!!!"

Luo Hao saw that Miao Youfang was a little surprised, but he didn't quite understand the significance of this matter.

But he didn't bother to explain.

"I won't go into detail about the article, but it's mainly about a double-blind clinical comparison of a prescription called [Zhongbo Xingnao Oral Prescription]. The results of the trial showed that the prescription was useless."

Miao Youfang was a little confused.

He couldn't understand what Luo Hao said about the connection between this matter and that woman.

"This is something that has great merit." Luo Hao said calmly, "Every year, I don't know how many family members of patients have to give oral stroke awakening prescriptions to patients with cerebral hemorrhage. Not only is it useless, it also delays treatment."

"And the pressure they face is also huge. I won't go into details here. Just remember this sentence and you will have a deeper understanding of it in the future."

"Many years ago, the guy from Tianjin said that he would gradually conduct double-blind clinical trials on all prescriptions to see if they were useful and how to improve them. But later, he gave up under tremendous pressure."

"Why?" Miao Youfang wondered.

"As a question, you should go back and observe more, look more, and think more." Luo Hao did not explain in detail.

"Xiao Miao, if you can't imagine a world where dogs bite people, then a world where people bite dogs probably isn't suitable for you."

Luo Hao paused for a moment and said, "Even if you have a good diagnosis and are skilled in surgery, you still cannot become a qualified doctor."

Miao Youfang seemed to be hit by an invisible bullet.

But Luo Hao didn't go into details and suddenly smiled.

At that moment, Miao Youfang felt that the sunlight coming in from outside was much stronger.

And the coldness in my heart seemed to disappear.

"Don't think it's easy to be a kind doctor in clinical practice. Let me tell you a few clinical jokes. You may already know them. I'll say them again."

Miao Youfang nodded.

"It was clearly inflammation on the right lobe of my lung, but the doctor still prescribed levofloxacin for me."

"It was clearly my right hand that was shaking, but the doctor insisted on giving me L-dopa."

"My feet obviously hurt, so the doctor gave me cephalosporin."

"I had a runny nose, but the doctor insisted on prescribing erythromycin for me."

"Why let a general surgeon be my consulting doctor when there are surgical specialists?"

"I had just had a right thyroid lobectomy, so why did the doctor prescribe levothyroxine tablets for me?"

"Methemoglobin's ability to carry oxygen is better than that of ordinary hemoglobin. After all, it is a high-speed train with increased speed."

"..."

Miao Youfang was stunned.

He had heard a few of the jokes Luo Hao told, but he didn't think too deeply about them at the time and just treated them as jokes.

"Every profession has its own expertise. The patient is not a clinical practitioner, so we shouldn't laugh at him." Luo Hao said seriously, "If we were to do something else, we would also have to find experts in that industry. Just like my wireless network at home doesn't work, and I don't even know how to fix it."

As he spoke, Luo Hao picked up his phone and called Wang Jiani.

"Big girl, is the wireless network fixed?"

"The masters said it would be done at 3pm, so I asked for leave and went home to do it."

"Okay, thank you for your hard work~"

Luo Hao hung up the phone and said, "Don't think too highly of the world. People are all the same, just low-level carbon-based creatures."

Miao Youfang was speechless.

"Without saying too much, a few days ago a famous doctor in the group said that a patient with uremia who was on long-term dialysis came to the emergency room with respiratory failure and a blood gas potassium of 6.9. After symptomatic treatment, emergency bedside blood filtration was recommended.

However, no matter how much people persuaded him, the patient refused to do it and insisted on going to a secondary hospital for long-term dialysis.

The local doctor told her that she could die suddenly on the way there at any time, so she signed and left. Ten minutes later, the ambulance from the hospital came to pick her up, saying that she had suffered respiratory and cardiac arrest right after arriving at the hospital, and she was not revived.

"You will often encounter this kind of thing in clinical practice. For example, some people really believe that drinking alcohol can disinfect. No matter how many times you explain to them that they need to take antiviral drugs for viral infections, it is useless."

Luo Hao said this, stood up, turned around and walked out.

"Xiao Miao." Luo Hao took a few steps, suddenly stopped, and said in a deep voice.

"Teacher Luo, I'm here."

“See more, learn more, and think more. It would be best if you can stick to your original intention.”

Luo Hao said a few more words today.

Miao Youfang is an interesting kid. Luo Hao can never forget the diagnosis of Madelung's disease.

When an undergraduate student came to the clinic and randomly picked a patient to talk, Miao Youfang was able to give a diagnosis, and it was an uncommon diagnosis such as Madelung's disease. Luo Hao was somewhat surprised.

Moreover, this child has the most basic kindness. Even though, to be frank, he is a little bit stupid, but this is what Luo Hao likes.

It doesn't matter if you are a little stupid, just learn more from Lao Meng.

Lao Meng’s greatest strength is not that he acts as the medical team’s nuclear-powered donkey every day, but that he is slick but has a kind of indifference that sees through the ways of the world, yet still maintains a little bit of his original kindness.

I hope that the young seedlings can grow into old seedlings one day.

Luo Hao and Miao Youfang returned to the ward while chatting.

Luo Hao had classes in the afternoon and had no appetite.

He himself is not very interested in eating. If there is food, he will take a bite, and if there is nothing to eat, he will just leave it alone.

……

……

A lake at the foot of the Alps, Switzerland.

The old man sat in a chair, gazing at the sapphire-like water surface, killing his long and boring time.

"Sir, the end point of the previous energy pulse was a hospital in Jiangbei Province, China."

"Hospital?"

"The first person to notice the abnormal changes was the guy who was as cunning as a mouse."

"Luo?"

"Yes, it's him. But his phone has a special device, so we can't monitor it."

The old man did not comment, but continued to look at the sapphire lake, as if he had suffered from Alzheimer's disease. Even his hands were shaking slightly, and it seemed that he was already terminally ill and incurable.

"I want to know what he is doing and what consequences the energy has in the end."

"Yes, sir."

After the people around him left, the old man looked at the lake. He remembered that night, the bridge, and the boat.

It seems that everything is a coincidence, but are there really so many coincidences in this world?

Who knows.

……

……

After returning to the office, Luo Hao prepared to review the content of his afternoon lecture.

Traditionally, this is called lesson preparation, but now clinicians have basically no time to prepare lessons, and it is not easy to attend classes on time.

It was not necessary to do it in such detail, but Luo Hao learned a lot from Boss Chai in this regard and habitually reviewed the content to be taught before class.

As soon as I turned on the computer, a familiar voice came from behind me.

"Xiao Luo, what are you doing?"

"Director Liu!" Luo Hao immediately stood up and greeted him enthusiastically.

Normally, Luo Hao doesn’t have much chance to see Liu Haisen. It seems like he hasn’t seen him for a long time. However, he often sees Director Shi of the endoscopy department.

"Director Liu, are you here to see Director Shen?" Luo Hao asked kindly.

Liu Haisen was accompanied by a female patient with a cotton ball stuffed in her nose, which seemed to be caused by bleeding.

"Looking for you." Liu Haisen looked at Luo Hao with a smile.

He didn't have much contact with the B-ultrasound room and the interventional department, and he didn't expect that his old classmate's nephew would grow up so fast. Now he looked at Luo Hao and found him pleasing to the eye.

"Oh, sit down, sit down, what's wrong?"

As Luo Hao spoke, he opened the AI-assisted diagnosis and took a look. A large number of diagnoses appeared in front of Luo Hao, which scared him.

But the patient's complexion was rosy and there was nothing seriously wrong with him as could be seen by the naked eye.

All kinds of diseases in AI-assisted diagnosis should not appear.

"My neighbor has had black stools in recent months. A routine stool test showed positive fecal occult blood." Liu Haisen said directly after sitting down, "A gastroscopy was done, and there was no clear problem."

"Is that so?" Luo Hao was stunned for a rare moment.

Liu Haisen was very surprised. Although he had seldom seen Luo Hao's diagnostic skills with his own eyes, he had always heard about them over the past year.

What happened to Luo Hao today?
"Xiao Luo, are you preparing for class?" Liu Haisen was sharp-eyed and saw that there was a PPT on Luo Hao's notebook, which he used to give lectures to students.

"Well, this is exactly what's causing my headache. Kids nowadays are hard to fool. They always ask questions related to clinical conditions. I'm thinking about what to add to make them more interested."

"Well, there's no need to. The kids are having fun skipping classes. As long as you are not so strict, they will be grateful." Liu Haisen smiled.

I don't know why Luo Hao is so concerned about this. Anyway, it's very easy for him to go to class. He just reads from the textbook and adds some clinical experience. The students are also very interested.

"Director Liu, are there any other tests?"

"The four blood routine and coagulation tests are all normal." Liu Haisen handed the test report to Luo Hao.

Luo Hao took a look and found that the test report showed "healthy" without any abnormal symbols. The four coagulation tests were normal, the blood routine test was also normal, and there was no anemia or other diseases.

This is a bit strange. Normally, the first instinct should be to consider coagulation abnormality, and the AI-assisted system also suggests this.

But there was no abnormal data on the test report.

"Are there any other tests?" Luo Hao continued to ask.

"There is a lung CT scan." Liu Haisen said, then turned on the imaging system, entered his name and started looking at the film.

"There seems to be nothing wrong with the image." Liu Haisen said.

Luo Hao tilted his head and gave Liu Haisen a smile. There was something meaningful in that smile and Liu Haisen was stunned.

What does it mean?
"Director Liu, there seems to be a problem here." Luo Hao called Liu Haisen in a low voice.

Liu Haisen was full of questions. He ordered the lung CT scan casually because the patient had not had a physical examination last year. He wanted to check whether there were any small nodules in the lungs.

The patient's main complaint is black stools, so attention must be focused on the black stools rather than on the lung CT.

I took a quick look at the film and there wasn't anything wrong with it.

Although Liu Haisen was not engaged in CT, he was a doctor who graduated from a professional imaging department, which was extremely rare in China at that time, so he had some basic skills.

"What's the problem? Let me take a look." Liu Haisen leaned over.

He didn't want to save face. It was just a normal communication. It didn't matter if he was wrong.

"Director Liu, here." Luo Hao moved the mouse to a certain area on the image. "It looks like multiple arteriovenous malformations. Combined with the nosebleed and gastrointestinal bleeding, it's suspected to be hereditary hemorrhagic telangiectasia."

The four coagulation test results and blood routine test results are normal, so the only possible consideration is a hereditary disease.

Liu Haisen took a look and only understood a little bit of what Luo Hao said, but it was not clear.

An ordinary plain film can say with certainty that it is a multiple venous malformation. This level of film reading is extremely high, and Liu Haisen knows that he cannot compare with him.

"So what should we do next?" Liu Haisen bypassed professional diagnosis and asked for solutions.

Luo Hao looked at the film in silence for a long time before he heaving a sigh of relief. "Well, I'll go to class first, and then share the relevant information in the group to see if anyone has experience in treating similar diseases."

"!!!"

"!!!"

Not only Liu Haisen, but even Chen Yong and Meng Liangren were extremely surprised.

Luo Hao, is this because a patient with black stools needs to be called for help?
Not to the point.

Although it is not uncommon for Luo Hao to shake people, the most recent case was paraquat poisoning. He consulted an experienced senior at Qilu Hospital and received treatment according to the Qilu plan.

But now the patient just has black stool, and he needs to call the doctor?
Miao Youfang sat in the corner, also a little confused, but his expression looked confused and puzzled, like a young man with no sense of reality.

"Director Liu, let's do a head MRI first. The queue there is long. Please wait for them to get off work and do some overtime." Luo Hao said, "I will be back after the MRI comes out."

Liu Haisen nodded subconsciously.

Luo Hao left with his notebook. Before leaving, he took some pictures with his mobile phone in his hand and hurriedly left a message in the WeChat group.

Liu Haisen didn't know who Luo Hao was looking for. He scratched his head and said, "Doctor Meng, could you please write a prescription for me?"

"The workload this year isn't that heavy, is Professor Luo trying to generate revenue for the department?" the resident manager muttered in a low voice.

Liu Haisen's face suddenly fell.

The hospital manager was just joking, but he didn't expect Liu Haisen to take it seriously. As if protecting his own child, Liu Haisen immediately turned hostile.

"Don't make jokes." Liu Haisen said with a frown.

The voice was stern, almost a reprimand.

Generally speaking, when you go to other departments for medical treatment, people are more polite and rarely see expressions like Liu Haisen.

The hospital manager stopped talking and lowered his head. In fact, he knew that what he said was wrong, at least he couldn't say it in front of the patient.

Only after Liu Haisen took the patient away did the hospital manager breathe a sigh of relief.

"Teacher, actually Mr. Luo's examination makes sense." Miao Youfang said.

The hospital manager was very angry. Liu Haisen was the deputy director of the B-ultrasound room. It was ok for him to say a few words about himself and find fault with him. Who the hell did Miao Youfang think he was, to dare to say such things about himself?

But when he looked up, he saw Zhuang Yan was already eager to try.

The hospital manager immediately took back all his words, saying that he could offend anyone but not Zhuang Yan.

Even if I offended Professor Luo, he would be magnanimous and would not hold it against me. But Zhuang Yan couldn't do that. Even if she followed Professor Luo to Union Hospital or 912 in a few years, he would still be the dean.

You don't even need to focus on yourself. Just go home and act coquettishly and talk about your grievances, and the difficulty of your life will directly increase by one or two levels, from medium to extremely difficult, or even to hellish difficulty.

Who would make their life more difficult for no reason?

Forget it.

The hospital manager sighed, "I just said it casually. The patient has black stools. What's the point of checking the head MRI?"

"Teacher Luo said that there is arteriovenous malformation. Black stool is also considered to be caused by bleeding after arteriovenous malformation. Since there is such a disease, the most serious thing is not blood in the stool, but whether there is also arteriovenous malformation in the head."

Miao Youfang said.

"Xiao Miao, write the medical record." Meng Liangren called out.

"Oh, okay, Teacher Meng." Miao Youfang immediately came to Meng Liangren.

The resident manager sighed, there really was another wolf cub in Professor Luo's medical team.

This is the truth, but the hospital manager just doesn't agree.

But he had to hold it in even if he was not convinced. He thought about it for a long time and decided to go to the MRI room to take a look when it was almost time to get off work.

"Teacher Meng, can we do a urine test for the patient?" Miao Youfang asked in a low voice.

"Urinalysis? What's the purpose of doing this?" Meng Liangren was a little surprised.

Miao Youfang didn't say anything, but pursed his lips, as if he was stubbornly insisting.

"You should call Professor Luo now. If Professor Luo says to do it, I will write a list and go to Director Liu." Meng Liangren thought Miao Youfang was interesting, so he left him a loophole.

Miao Youfang immediately took out his cell phone and made a call.

"Urinalysis, you are..." Luo Hao was hesitant to speak after hearing the urinalysis, "Okay, take a piss."

After making the call in front of Meng Liangren, Miao Youfang always felt something was wrong after hanging up.

"Why did Professor Luo say that it was just a urine collection and nothing else happened?" Meng Liangren was also very confused.

"Yeah, Senior Brother is very busy?" Zhuang Yan came up and knocked on Miao Youfang's head, saying with a smile, "You too, just call Senior Brother when I ask you to, Senior Brother is very busy."

Miao Youfang didn't say anything. When he saw Meng Liangren finish the test report, he hurriedly took the report and went out to find Liu Haisen.

"Old Meng, what's wrong with him?" Zhuang Yan was a little surprised.

"I guess he noticed something wrong and wanted to show off." Chen Yong stretched lazily. He had been working on his thesis and had paid no attention to the medical treatment.

"I was like this when I first started working. Maybe my foundation was better, so I felt that I was different from others."

"Haha." Zhuang Yan smiled reservedly. As a graduate of Peking University School of Medicine, Zhuang Yan understood this emotion very well.

"I'll go see what he's doing." Chen Yong stood up. "They made a patient with nose bleeding so complicated."

(End of this chapter)