White armor

Chapter 599 A Different Medical Team

Surgery is not difficult.

Whoever hears this comment will be a little surprised.

You have to know that the patient went to the Mayo Clinic and was sent back to die.

That’s it, not difficult?
Ha ha.

Except for Boss Zhou, everyone else's expressions changed instantly.

"Okay, that's all for today." Boss Zhou didn't comment on Luo Hao's words, but nodded and said, "Let's go, see the patients, and then you can go back if you need to. The New Year is coming soon, so you should take a break after you finish the last batch of patients at the end of the year."

"Luo Hao." Boss Zhou greeted in a low voice.

"Yes, boss."

"I heard that the interventional department ward under Director Xu's supervision will be closed during the New Year. Is yours the same?" Boss Zhou began chatting.

"I don't know yet. I was transferred to the first grade of Medical University after the Chinese New Year last year. This year, I haven't asked yet."

The old man and the young man walked out while chatting. Gu Huaiming turned around and glanced at his doctor with mixed feelings.

Luo Hao was not in the imperial capital. If he was, he would have been able to feel the biting cold.

Who can escape the pursuit of fame, wealth and power?

Before, I didn’t understand why Luo Hao wanted to go back to his hometown. He didn’t make any progress for three years, and after his sudden success, he just stayed in Jiangbei Province. Now Gu Huaiming feels a little touched.

……

……

Feng Zixuan stared at the screen with frowned brows.

The test report on the screen gave him a number that he couldn't believe - 2 d32514 polymers!

A number 80 times higher than normal.

If the early warning system adjusted the alarm volume in multiples, the sirens would have already knocked over the roof of the First Hospital of Medical University.

The patient presented to the emergency department because he was generally unwell.

The emergency department follows the rules set by Feng Zixuan, and no matter what kind of patient comes, an electrocardiogram must be taken first.

The patient's electrocardiogram ST segment showed slight changes, so the emergency department checked a D2 aggregate to see the risk of thrombosis and then decide what to do next.

At that time, the D2 aggregate was 20 times the normal value, so the patient was sent directly to the cardiovascular department.

After hospitalization, relevant examinations were conducted and it was found that the patient's coronary artery was not blocked, so a consultation with the entire hospital was sought.

The relevant departments looked around but could not come to a clear conclusion. Director Shen was not at home, as he had gone out to attend the annual meeting. Luo Hao was also not at home, as he had gone to 912 "Flying Knife".

Feng Zixuan frowned, feeling a little annoyed.

The New Year was approaching and I was very happy, but I didn't expect to meet such a patient.

The key point is that the two people with the highest diagnostic skills in the hospital are not here.

Never mind, he was just a little annoyed. In a hospital, there was no way they could diagnose all diseases. Countless people died in hospitals across the country every day. Feng Zixuan didn't want to cure all diseases, as long as there were no medical disputes.

Feng Zixuan sighed, picked up his phone and called Zhuang Yan.

"Xiao Yan, the whole hospital is having a consultation."

"Just go and have a listen, and pass the information to Professor Luo so he can take a look at the situation."

"By the way, did his surgery go well?"

Feng Zixuan passed the blame to Luo Hao and rushed to the consultation.

When he arrived at the Department of Cardiovascular Medicine, Zhuang Yan and Meng Liangren had already arrived. Feng Zixuan nodded slightly and sat down to preside over the consultation.

The attending physician stated the medical history, everyone examined the patient, and looked at the report. The procedures were all normal, but there was still no result.

Seeing that no one spoke and everyone remained silent with sad faces, Feng Zixuan ended the consultation.

"Xiaoyan." Feng Zixuan greeted.

"Director Feng." Zhuang Yan came to Feng Zixuan very formally, bowed slightly, polite and courteous, and even her voice was different from usual, "Please give your instructions."

Just like the young doctor, he looked quite competent now, Feng Zixuan smiled slightly.

"Have you reported this to Professor Luo Haoluo?"

"I'm collecting information. Brother wants to look at some things. I'll get it done right away."

Look?
Feng Zixuan was startled.

The information is already quite complete, what else does Luo Hao need to see?
However, he did not interfere in this matter. Zhuang Yan had worked in Luo Hao's medical team for nearly half a year, and surprisingly, she did things in quite the same style as Luo Hao.

Mature, good.

Feng Zixuan followed behind Zhuang Yan and watched her go to the attending physician to give medical advice and request another blood test. Then Zhuang Yan called the nurse to draw blood.

Rechecking and constantly eliminating laboratory errors is quite satisfactory.

It’s just that the d2 aggregate test has been done too many times, and Feng Zixuan feels there is no need to recheck it.

After the blood draw, Zhuang Yan took the blood sample directly to the laboratory and scanned her face to get the results as quickly as possible.

With Feng Zixuan following them, the doctors in the laboratory were on high alert, and no one would make things difficult for Zhuang Yan over such a small matter.

After taking the blood out of the centrifuge, Zhuang Yan took the test tube and observed it carefully.

"Old Meng, I'm telling you to remember." Zhuang Yan said seriously.

In Meng Liangren's hand, a black notebook appeared as if by magic, and a pen with his name engraved on it was also ready.

What's so good about this? Feng Zixuan was puzzled.

"First, check the appearance of the specimen: the white film layer between the centrifuged platelet-poor plasma and the blood cells is flat and has no bumps. The upper plasma is clear and transparent, without hemolysis or chyle."

"Second, check the specimen again: use a bamboo stick to pick up the blood cells in the lower layer, and after confirmation, the anticoagulated specimen is qualified."

Gan!
Feng Zixuan stared at the cotton swab in Zhuang Yan's hand in a daze.

What is this program?
There are many things to pay attention to when sending blood samples for testing, but there is definitely no information about what Zhuang Yan did.

Could it be that Union Hospital or Peking University Medical College are so meticulous when encountering similar situations? This was something Feng Zixuan had not expected.

Looking at Zhuang Yan, Feng Zixuan had a lot of question marks on his mind.

The test tube was then sent to the machine for inspection.

Meng Liangren was as if facing a formidable enemy, cautiously holding a pen and notebook while Zhuang Yan looked at the test tube seriously.

After a few minutes, Zhuang Yan checked again.

“Check the reaction curve: the result given by the instrument in the first test indicated an excess of antigen, and the 8-fold dilution mode was started for retesting. The final result of the retest was 30650 ug/L FEU.

The reaction curve after 8-fold dilution showed that the slope of the sample needle B was 0.09032, the slope of the sample needle A was 0.04149, the total slope was 0.0913, the slope of B was greater than the slope of A, and the total slope was greater than the slopes of B and A.

The result complies with the audit rules and is credible. ”

I am!

Feng Zixuan was confused by what Zhuang Yan said. What are slope A, slope B, and total slope?
This is too professional.

Zhuang Yan used her professionalism to overwhelm the director of the Medical Department of the First Hospital of Medical University.

"Xiao Zhuang has studied inspection?" The director of the inspection department was also surprised, and she said jokingly.

"Director Du, I've learned something. This patient's test results are too outrageous. If I want to report to my senior brother, I have to do some work first and see it with my own eyes. Otherwise, my senior brother will definitely ask me to do it again."

Zhuang Yan shook her high ponytail, but she didn't look lively, but rather exuded a sense of seriousness.

"Director Du, what did Xiao...Xiaozhuang mean?" Feng Zixuan asked in a low voice.

"It is to rule out laboratory errors caused by insufficient doctor skills in the laboratory." Director Du was also helpless, but Zhuang Yan had a special status, so she did not say a word of "no", but just praised Zhuang Yan.

"It's really nice to do it step by step. If you don't know, you might think it's an old inspection."

Director Du took the opportunity to praise and gave Zhuang Yan a positive evaluation.

Feng Zixuan was shocked.

Even Director Shen, who is the best at diagnosis at the First Hospital of Medical University, would not come to the laboratory to do such a thing. At most, Director Shen would call Director Du and ask her to pay attention and keep an eye on it.

But what's the point?

After doing all this, Zhuang Yan and Meng Liangren returned to the ward.

When the video was opened, Luo Hao, Gu Huaiming and Boss Zhou appeared.

It should be during the tea break. The operation was completed. Feng Zixuan wanted to say hello to Boss Zhou and Director Gu, but Meng Liangren started reporting the medical history directly.

The medical history report is detailed and quite standard.

A few minutes later, Meng Liangren and Zhuang Yan finished reporting what they had just done.

Feng Zixuan noticed that the content of Meng Liangren's medical history report was different from that of ordinary people. It was probably some unwritten rules within Luo Hao's medical team.

It was like Zhuang Yan was going to the laboratory to watch the examination.

Most people just "watch" the examination and they don't see as many details as Zhuang Yan does.

Luo Hao's medical team was right under his nose, and he and his team were communicating frequently. Feng Zixuan was surprised that the situation had evolved to a point that he could not understand at all.

"Oh, is that so?" Luo Hao smiled. "Have you checked your body?"

"We checked. Xiaozhuang and I both did auscultation, and there was no obvious abnormality."

"Look carefully at the patient's skin to see if there is a maculopapular rash."

"Maculopapular rash?" Meng Liangren and Zhuang Yan repeated the word in unison.

"Well, not necessarily, but we still have to take a look. Since you have seen the patient and found out, I tend to think so." Luo Hao said "nonsense".

"Brother, do you have a diagnosis?"

"Hives."

"???"

"???"

"???"

Urticaria? It's not this kind of clinical manifestation!

Feng Zixuan moved away from the camera, took out his cell phone and started searching for the term "urticaria".

After he entered urticaria, he modified the entry to become "Will urticaria cause an increase in D2 aggregates?"

The top few commercial entries clearly state that urticaria has nothing to do with D2 aggregates.

Feng Zixuan was a little confused. Although it was not very reliable to consult a doctor online, some basic common sense information that could be found by searching on Baidu could still be used as a reference.

A well-known online doctor gave a definite answer with confidence - it doesn't matter.

For a moment, even Feng Zixuan believed it.

"The increase in D2 aggregates may be caused by urticaria, just go get checked." Zhou Lao said, "Xiao Zhuang, right? You guys have worked hard looking after the house."

Mr. Zhou was not interested in urticaria at all, as if it was just a common disease.

He greeted Zhuang Yan with a smile, and then greeted Meng Liangren.

“……” Feng Zixuan was silent.

Boss Zhou loves Zhuang Yan and Meng Liangren because he loves them. That's why he is so polite to them.

He understands, he understands everything.

For a moment, Feng Zixuan wanted to join Luo Hao's medical team, even if he was only responsible for some peripheral reception matters.

"Hello, Mr. Zhou."

"Hello, Mr. Zhou."

"Go check it out. Luo Hao went back right after the meeting here, and he'll be able to catch up with you in time for the results." Old Zhou said kindly.

"Okay." Meng Liangren didn't even give Zhuang Yan the chance to ask questions. He bowed respectfully and then turned off the video.

"Old Meng, I haven't finished asking questions yet." Zhuang Yan complained.

"Professor Luo must have something important to say. Didn't you see that some of them don't look like doctors?"

"Doctors also know about faces?" Zhuang Yan didn't believe it.

"Urticaria, let me look for it." Meng Liangren took out his mobile phone and started searching for the term urticaria.

[Urticaria, also known as wheals or skin edema, is a skin disease caused by mast cell activation, which leads to dilation of small blood vessels in the skin and mucous membranes and increased permeability. This lesion disappears within 24 hours, but can recur. ]

Meng Liangren began to mutter softly.

There is a very complete encyclopedia entry on urticaria. He read it for a long time, but in the end he did not see any relevant content about D2 aggregates.

However, Meng Liangren did not think much about it, because the way to treat urticaria does not affect other treatments. Diagnostic treatment is also a common method used by clinicians.

After he came back, he thought for a few minutes, stared at the computer, and then began to write the consultation record.

The record was carefully chosen and detailed to the point that even Feng Zixuan couldn't bear to read it.

Feng Zixuan usually disliked the poor attitude of clinical doctors in writing medical records, which were too roughly written, so much so that when patients complained, they would find the medical records were full of errors.

There is no way you can win a lawsuit in front of the Medical Dispute Mediation Committee.

That is why Feng Zixuan keeps reminding clinicians to pay attention to writing medical records.

But, the internal medicine department is better, but the surgeons really don't listen.

Feng Zixuan also knew that the surgery department was busy. After standing for a whole day, he was exhausted to the bone and really didn't want to do anything, let alone write medical records.

However, Meng Liangren was too meticulous and wrote too much about the consultation. Some of the seemingly irrelevant content had to be thought over by Feng Zixuan before he could figure out in what kind of situation that sentence would be useful.

Ugh.

Feng Zixuan sighed deeply in his heart. Meng Liangren treated all medical records as first-level medical disputes, and even handled them more meticulously than the most serious medical disputes.

It’s over, it’s over.

It took Meng Liangren a full twenty-five minutes to finish writing the consultation document.

"Xiao Zhuang, please help me check if there is anything missing." Meng Liangren did not talk to Feng Zixuan, but asked Zhuang Yan to help check.

This sentence made Feng Zixuan immediately look at Meng Liangren with new respect.

Being meticulous and careful is one thing, but Zhuang Yan is clearly a half-apprentice brought up by Meng Liangren, yet he asked Zhuang Yan to help with the inspection.

Three checks and seven comparisons, with someone supervising, will eventually make it more perfect. But whether you can save face is a question.

It was quite interesting. Feng Zixuan stood behind and watched quietly.

Zhuang Yan seemed to have been accustomed to it. She did not argue with Old Meng, but immediately opened the medical record to check Meng Liangren's consultation.

She read it very carefully and didn't miss even the punctuation marks.

"Old Meng, no problem." More than ten minutes later, Zhuang Yan gave Meng Liangren a reply.

"Director Feng." Meng Liangren stood up, bowed slightly, and a humble smile appeared on his square face. "I have finished writing the consultation. I will call the Department of Cardiovascular Medicine and apply the medicine first. It is estimated that it will take effect in 6-8 hours. I will check the d2 aggregates tomorrow morning, and the value should be able to drop."

"Don't you think the diagnosis of urticaria may be wrong?" Feng Zixuan teased.

"Professor Luo is the brain. I can question his views. Professor Luo has repeatedly said this. We must question his diagnosis. But that is an internal matter of the medical team. If we really make a decision, we must have a consistent opinion and approach."

"I don't have any other opinions right now, and neither does Xiaozhuang, so we have to rely on Professor Luo's diagnosis."

Oh?

Feng Zixuan nodded, "Okay, apply the medicine first, and we'll see about the rest tomorrow."

After leaving the inpatient department, Feng Zixuan was still a little dazed as he recalled the entire consultation process.

Luo Hao chatted and laughed with Boss Zhou and his colleagues in the capital. After listening to the patient's medical report for a few minutes, he gave a diagnosis without hesitation, which was more useful than holding any number of consultations at home.

In addition, the actions of Meng Liangren and Zhuang Yan also made Feng Zixuan uneasy. He was envious and jealous.

Feng Zixuan found it ridiculous that a director of the Medical Department would be jealous of a professor leading a group at the grassroots level.

After taking a few deep breaths of cold air, Feng Zixuan felt better.

"Director Feng!"

Feng Zixuan looked in the direction of the voice and saw it was Fang Xiao.

A director of Changnan City, who is familiar with Professor Luo Haoluo, these are all the labels Feng Zixuan has for Fang Xiao.

"Director Fang, why are you here?"

Fang Xiao walked quickly to Feng Zixuan, smiling, "It's Chinese New Year soon, and I have some local specialties from my hometown, so I brought them to visit you teachers. I was still thinking about how to visit you, but I didn't expect to meet you here."

"Haha, you're too polite. No need. Director Fang, I hope you will make great plans in the coming year." Feng Zixuan said with a smile.

"You're welcome, Director Feng. It's nothing rare. It's sesame paste, sesame oil, and chives made in my hometown."

Feng Zixuan was stunned.

The beef at Changnan Noodles is famous, and the chives and sesame paste are also excellent. It is said that during the New Year, you will receive some "small" New Year gifts.

The saying "a small gift may convey great sentiment" is just a saying. It is indeed difficult to give a gift that does not violate taboos, is presentable, and is well-liked by the recipient.

These "specialties" of Changnan have met so many strict requirements.

It is said to be expensive, but it is indeed not expensive. Compared with similar products on the market, it costs less than 100 yuan in total. It is no big deal to take it to the Discipline Inspection Commission, and people are too lazy to say anything.

but!

Feng Zixuan has tasted these things before. They are the best of the best. Any one of them can be praised with a thumbs up and will never be forgotten.

The people who are really worthy of giving gifts have all been seen and eaten by people, and sometimes the features are the main consideration when judging someone.

"Director Fang, where did you get it? I heard that your Changnan City specializes in New Year's goods, and you can't buy it normally."

"I dare not say that, Director Feng!" Fang Xiao's face was full of smiles, and he looked exactly like Meng Liangren.

Feng Zixuan felt a little emotional. Why were the people around Luo Hao so friendly?

"Now that we are not allowed to have special supplies, I just got some local specialties from my hometown. Each one costs only about a hundred yuan, which is a token of my appreciation. I also got some wood ear mushrooms grown on basswood trees in the mountains of Wudalianchi. The precious thing is that I picked them myself."

"Hahaha, okay." Feng Zixuan laughed and agreed.

If it was anything else, Feng Zixuan would not accept anything Fang Xiao brought. It is said that giving gifts is a science, Feng Zixuan deeply agrees with this.

Some people criticized gift-giving. Feng Zixuan still remembers a comment below when he was watching a short video - if you can give a mooncake during the Mid-Autumn Festival, you are awesome.

Whether to give or not is one question, whether others want it is another question, and the latter is more difficult than the former.

Fang Xiao is indeed a talented person, no wonder he is so close to Xiao Luo, Feng Zixuan thought. Just by giving gifts during the New Year, he has almost achieved the pinnacle of this position.

Getting yourself to accept a gift is not harder than climbing to the sky, but it does require some altitude sickness.

Feng Zixuan glanced at Fang Xiao.

"Director Feng, where is your car? I'll take you there." Fang Xiao said calmly.

"In the underground garage, you can find it."

"Yes, yes, yes."

"Go down to area D on the left. I'll wait for you."

The two of them arrived at the garage almost at the same time. Looking at what Fang Xiao was holding, Feng Zixuan smiled.

The packaging is ordinary, not grand, but looks clean and simple.

Fang Xiao opened the trunk, put the things in, and bowed slightly, "Director Feng, thank you for your help this year."

"No, it was Xiao Luo who wanted to go to your Feidao. I answered the phone and went through the normal procedures."

"Director Feng, you don't know how difficult it is for our grassroots hospitals." Fang Xiao closed the trunk calmly and chatted with Feng Zixuan. "The medical insurance situation is too severe. The top hospitals in the imperial capital and the magic capital are not the most affected. The top hospitals in our province are also less affected. The main impact falls on us."

"The work is really hard and you are really working hard." Feng Zixuan said indifferently.

"Medical insurance is not something an ordinary doctor like me can talk about. We just follow what others tell us to do. But scientific research is really life-threatening." Fang Xiao observed Feng Zixuan's expression and saw that he didn't show any impatience, so he continued the conversation.

"How's your side?"

“I read a study that said Chinese doctors submit manuscripts most frequently on weekends, far ahead of their counterparts in other countries.

The weekend should be a good time to spend with family or enjoy one's hobbies, but Chinese doctors often use this time to conduct scientific research."

“There is a strong circadian rhythm of manuscript and review submissions by physicians 24 hours a day.

The peak time for doctors to submit manuscripts and review is at the end of the workday, with a smaller peak during the midday period.

I see that doctors around the world have basically the same habits: they are busy with clinical work in the morning and afternoon, and take the short break after lunch to revise their papers whenever they have time.

"Oh?" Feng Zixuan looked at Fang Xiao with interest. It was indeed interesting that people from a municipal hospital would read such an "idle" paper.

“During this late night period, the highest probability of submitting manuscripts and peer review is in China and Benzi.

Chinese doctors are 1% more likely to submit papers between midnight and 86 a.m. than the average, and their peer reviews are 57% more likely. This shows that Chinese doctors often work overtime until late at night to conduct scientific research.

"Your side is fine, but our side is basically all fabricated. You can't sleep well, but you have to get up and fabricate papers. How ridiculous is that?"

Speaking of this, Feng Zixuan sighed deeply. Clinical work is already heavy, so the so-called scientific research has to be done by staying up late after get off work.

Fang Xiao’s data is not surprising.

(End of this chapter)