White armor

Chapter 604: Hidden Symptoms
"Where are you hospitalized?"

"He has an IV drip at a clinic near his home. I just saw the photos he posted in the group chat. When I first started working, Lao Xu took good care of me and said a lot of things that I didn't understand at the time, such as..."

Meng Liangren said this and suddenly paused.

Luo Hao guessed that Lao Meng must have remembered the bad things that happened in the past.

But Meng Liangren was just stunned for a moment, and then continued, "At that time, Lao Xu told me not to look for a partner easily. I was young at that time and didn't understand these things. Now thinking back, Lao Xu was indeed doing it for my own good."

"It's okay, it's all over." Luo Hao fastened his seat belt with a smile, asked Meng Liangren for the address, and turned on the navigation.

"Yes, there are some other things. By the way, some of my medical record writing was also taught by Lao Xu."

Luo Hao didn't care about it.

Meng Liangren was just speaking casually. Even if some of it was taught by that person, could he write medical records as well as Old Meng?
This stuff is all about talent. Lao Meng is gifted, and life also helps. Luo Hao doesn't believe that anyone can surpass Lao Meng in medical record level, including himself.

"Professor Luo, Xiao Miao learns to write medical records very quickly." Meng Liangren suddenly said.

"Oh?"

"Now I can hardly find any fault with the medical records he writes."

Luo Hao sighed.

"What's wrong, Professor Luo?"

"Xiao Miao's score in the postgraduate entrance exam is too high. He may not be able to stay." Luo Hao sighed, "It is said that he is the first in the postgraduate entrance exam of Union Medical College this year. The second place is 11 points lower than him."

Meng Liangren was shocked.

"Professor Luo, why don't you send Xiao Miao to the emergency department? Aren't you afraid that the child will get angry with you?" Meng Liangren advised in a low voice.

"If he is sensible, he will definitely not get angry." Luo Hao said, "Our interventional department is too quiet. If he continues like this, there will be many omissions. It is more appropriate for him to go to the emergency department as soon as possible to get in touch with real clinical practice."

"That's right." Meng Liangren nodded and did not continue to persuade him. Instead, he thought about Xiaomiao's high score.

There are top scorers in the college entrance examination every year, but there are still many difficulties between a top scorer in the college entrance examination and becoming an academician, and only a few top scorers can become academicians.

Being able to be Professor Luo’s graduate student, and even his senior disciple, is different from just finding any random mentor.

Meng Liangren didn't even think about telling Miao Youfang about this kind of decision that determines one's entire life. Meng Liangren didn't want to be involved in so many causes and effects.

"How is Xiaomiao?" Luo Hao asked.

"Very good. Although he is young, he is calm and steady." Meng Liangren gave a fair evaluation. "Especially the diagnosis. It is very accurate. There are several special patients. The diagnosis he gave is the same as the diagnosis you gave after seeing the patients later, Professor Luo."

This young man is quite interesting, Luo Hao thought.

We soon arrived at the clinic and saw a man inside getting dressed and preparing to leave with the help of his family.

Luo Hao didn't care. How heavy could the patient who was receiving an IV drip in a small clinic be? Moreover, he was Meng Liangren's colleague. As a doctor, he should always have his own judgment about the disease.

It will definitely be fine if you don't go to a big hospital but go to a convenient clinic for an IV drip.

Meng Liangren got out of the car and turned around to say, "Professor Luo, you go back first. I'll take a taxi back to the hospital later."

Luo Hao nodded, but when he saw the patient's ugly face, he was stunned.

Is this an acute attack of chronic bronchitis? It doesn't look like it.

Patients with chronic bronchitis usually cough and produce phlegm. When they breathe, it feels like there is a mouthful of sticky phlegm in their throat that they are chewing continuously.

If pneumonia is present, fever may occur.

But Mr. Xu in the clinic looked pale, unable to stand up, with cold sweat on his forehead and temples.

He tried hard to breathe, and the veins in his neck were exposed.

Just as Luo Hao was about to turn on the AI-assisted diagnosis, Meng Liangren suddenly turned around and said, "Professor Luo, wait a minute, don't leave yet!"

Because of his anxiety, Meng Liangren's voice changed and became very impatient.

Before Luo Hao opened the car door and got out, Lao Xu inside suddenly fell to the ground.

His body seemed to have weighed twice as much in an instant, and his family members couldn't help him up, and he fell straight to the ground.

Luo Hao unbuckled his seat belt and rushed over.

In just a few seconds, Lao Xu's breathing and heartbeat stopped.

The diagnosis of acute myocardial infarction suddenly appeared on the AI-assisted diagnosis!

Luo Hao was speechless. He walked quickly to the patient, pushed the patient's family away, and laid the patient flat. "Lao Meng, call 120 for emergency help! Hurry up, come over and give me artificial respiration after you're done!"

After saying that, Luo Hao knelt on the left side of Lao Xu's body. He slid the index and middle fingers of his left hand along the costal arch toward the middle to the intersection of the costal arches on both sides, and accurately landed on the substernal notch.

Then Luo Hao placed his index finger and middle finger horizontally above the substernal notch. The middle part of the sternum above the index finger was the pressing area. He placed the base of the palm of the other hand on the patient's sternum close to the index finger. He then removed the positioning hand and overlapped the base of the palm on the back of the other hand, lifting the fingers away from the chest wall. You can also cross the fingers of both hands to lift the fingers.

Straighten both elbows, place both shoulders in the center above the patient's sternum, keep shoulders and hands vertical, and press down hard.

At the same time, Luo Hao naturally began to hum the song of Phoenix Legend in his heart.

The rhythm of this song is perfectly consistent with external chest compression, and it is a life-saving song.

Meng Liangren knelt on the side and made a phone call, performing artificial respiration intermittently according to Luo Hao's rhythm.

He was a little confused. Wasn't it an acute attack of chronic bronchitis with mild pneumonia? How could he suddenly die? What on earth was going on?
Just now, Meng Liangren did notice that Lao Xu's face looked strange, and wanted to find Luo Hao to check it out, but he didn't expect that Lao Xu would fall down in front of him like a wooden stake.

Meng Liangren was very busy as he dialed the 120 emergency number and performed artificial respiration at the same time.

"Dexamethasone 10mg intravenous injection! Epinephrine 1mg intramuscular injection!"

Luo Hao gave medical advice, but no one in the small clinic paid attention to it. Everyone was already panicking, which was completely different from the well-trained First Hospital of Medical University.

Such a thing had never happened in such a small clinic, and Luo Hao felt helpless.

I guess the necessary first aid medicines are not available here, and even if they are, they wouldn't dare to use them on anyone.

No matter how anxiously you yell, it's useless.

Fortunately, after cardiopulmonary resuscitation for a short time, Lao Xu was able to breathe on his own again, so the situation should not be that serious.

The 120 ambulance from a nearby hospital quickly drove over and took the person into the car. Luo Hao told them the diagnosis and explained the medication.

Although the 120 ambulance would not fail to give medicine, Luo Hao was shocked by the unreliability of the small clinic and said a few more words.

I was sweating profusely and soon my whole body was frozen into popsicles standing in the cold wind.

Luo Hao hurriedly got into the car, and Meng Liangren followed.

"Professor Luo, what happened?" Meng Liangren asked breathlessly. His face looked extremely ugly and he had not yet recovered.

The emergency treatment just now exhausted Lao Meng's energy. This thing is the most tiring. He gasped and asked Luo Hao what happened.

"Oh, myocardial infarction." Luo Hao said.

"Uh..." Meng Liangren was stunned.

"The symptoms of precordial tightness and dyspnea are similar to those of an acute attack of chronic bronchitis and have been covered up. The same goes for Lao Xu. As a doctor, doesn't he know how to check an electrocardiogram for himself?" Luo Hao explained helplessly and scolded Lao Xu.

"!!!"

Meng Liangren suddenly remembered that Director Feng Zixuan required all patients who came to the emergency department of the First Hospital of Medical University to have an electrocardiogram done if possible.

This thing is really scary, Meng Liangren thought to himself. Although most electrocardiograms are normal, it can still save many lives.

Luo Hao drove and followed the 120 ambulance.

"Old Meng, the level of your infectious disease hospital...it's really hard to describe." Luo Hao sighed.

"Well, that's true." Meng Liangren also sighed.

"In acute myocardial infarction, cardiac output decreases, ventricular pressure increases, and pulmonary venous congestion leads to left ventricular dysfunction, coughing, and dyspnea. This dyspnea is of cardiogenic origin, and it is generally severe and develops rapidly, and worsens when lying flat.

It is difficult to differentiate between cardiac and pulmonary causes. No one cares, and you don’t even know how to get an electrocardiogram?"

Meng Liangren was speechless.

Indeed, the more problems I encounter, the more I feel that some of the things Director Feng said are right.

For example, try to draw an electrocardiogram.

If Lao Xu had done an electrocardiogram, what happened today would not have happened. Meng Liangren asked Luo Hao for a bottle of Baishuishan tea, opened it and rinsed his mouth.

Artificial respiration seems easy, and it saved Lao Xu's life, even if it was only temporarily.

But Meng Liangren always felt uncomfortable in his mouth.

He had long forgotten when the last time he hugged someone was, when Meng Liangren heard the singing of Brother Lao Li.

As the ambulance took Meng Liangren to a nearby hospital, Luo Hao did not get out of the car.

"Then I'm leaving." Luo Hao said hello to Meng Liangren, "Leave me a message if you've rescued him or not."

"Okay, Professor Luo." Meng Liangren responded and turned to run into the emergency room.

Luo Hao opened the window to get some fresh air.

The gas in a person's respiratory tract has a special smell after death, which seems to be the legendary death air.

Meng Liangren gave Lao Xu artificial respiration. There was a hint of death in his breath, which made Luo Hao feel that the air in the car was a little turbid.

The temperature in the car dropped instantly, but Luo Hao was in a good mood.

The Northeast is really too cold, Luo Hao thought. The boss always wants to come to the Northeast, but this is absolutely not possible.

Given the boss's lungs, cardiovascular system, I don't think he can take it for long.

How about sending the bamboo to the imperial capital next year? No, this year, Luo Hao thought to himself.

The eldest girl went to the capital in advance to adapt to the new environment, thinking that she would be able to go back in a few years.

Luo Hao thought about it while rushing to Ha Dong.

After parking the car, Luo Hao just shouted to the security guard to open the door when Dahei appeared inside.

It stuck out its tongue, with misty breath coming out of its tongue, and smiled at Luo Hao.

But Dahei only has half of his face, which makes him look a little ferocious, even though he is trying to be cute.

"Professor Luo, you're here!" The security captain trotted after Dahei, "Brother Hei came out while he was eating, and I knew it might be you."

"What to eat?" Luo Hao asked.

"Have a bite, then Brother Hei will take me for a walk." The security captain opened the door and said with a smile.

As soon as the door opened a crack, Dahei pounced towards Luo Hao like a black lightning.

"Be good, be good." Luo Hao held Dahei's head and gave it a big hug, "Don't lick it, don't lick it!"

Luo Hao couldn't handle Dahei's enthusiasm and felt a little embarrassed.

The security captain looked at this scene with envy. His brother Hei was usually very cold and aloof. He was not so enthusiastic towards anyone. At most, he would wag his tail, but most of the time he would turn a blind eye.

But when he saw Professor Luo, Dahei jumped into Professor Luo's arms and licked him as if he had seen a relative.

The former coldness disappeared, and the enthusiasm became overwhelming.

Ugh.

The security captain sighed inwardly and felt a little jealous.

Luo Hao held Dahei in his arms and said, "Let's eat first, then I'll take Dahei to the panda house." "Okay."

When he entered the house, he was filled with smoke and Luo Hao's nose twitched.

Recently, Luo Hao only smoked apps. He didn't miss cigarettes, but he wasn't annoyed. It was just that the smoke in the room was too thick, and the air seemed blue.

The security captain opened the window for fresh air and asked Luo Hao to sit down.

Dahei also jumped down from Luo Hao's arms and squatted beside Luo Hao.

Half of its face was serious, while the other half faintly revealed white bone streaks, making it look like an ancient ferocious beast described in mythology.

Luo Hao took a glance and saw a plate on the table. The security guard next to him had two pairs of chopsticks. He thought that "his brother Hei" should also come to the table to eat and someone was feeding him.

This status is pretty good. Luo Hao was in a good mood when he saw this scene.

Seeing Luo Hao happy, the security captain also smiled. He came closer to Luo Hao with a smile and said, "Professor Luo, his brother Hei usually eats with us."

"Dahei, you should eat something a little lighter. Too salty will put a heavy burden on your body." Luo Hao said.

"Yes, yes, the food Heige eats is specially made. Don't worry, don't worry."

Oh? Hehe.

Luo Hao smiled and asked everyone to sit down. He took the chopsticks and started to feed Dahei.

"Professor Luo, do you remember the white fox you sent me?"

"remember."

Luo Hao recalled the memory of a rural man who came to me with a white fox with a broken mandible and pampered it.

In the Northeast, white foxes, weasels and hedgehogs all have special meanings.

Some time ago, Zhuang Yan saw a video shot by a southerner. It showed a weasel wanting to eat the owner's kitten. It took the cat away several times and was kicked twice by the owner.

The barrage replies to any IP in Northeast China are all - it makes me break out in a cold sweat.

The same goes for the white fox.

"Is it obedient?"

"Be obedient, it's just whimpering all the time, it could be... it could be..." The security captain stopped talking after talking for a while.

Just at this moment, a little zombie dog with stiff limbs jumped in from outside.

Bang, bang, the sound of the landing can be clearly heard.

Forget about this guy, where was it just now?

Luo Hao also didn't know why the limbs of this "zombie dog" were still stiff and looked hard after being cured of tetanus.

"Sanhei, come here." Luo Hao called out.

The zombie dog jumped up to Luo Hao and rubbed its head against his legs to show its affection, but its movements were stiff and looked weird.

"Professor Luo, can't it be cured?" asked the security captain.

"It's good enough to be alive. Not all diseases can be cured." Luo Hao rubbed the zombie dog's head nonchalantly and gave it a piece of meat.

"That little white fox might be missing you." The security captain finished his sentence.

Depend on.

Luo Hao cursed in his heart.

I want to save you, and you want to pick me up?
"Professor Luo, would you like to go for a checkup later?" asked the security captain.

"No." Luo Hao had no interest in the little fox. He didn't have much time to begin with, and he also had to play with Da Nizi and Zhuzi. How could he have the time to see the little white fox?

Seeing that Luo Hao was determined, the security captain did not try to persuade him further.

Maybe Professor Luo has some taboos in his heart, so he is unwilling to have more contact with the little white fox.

That little gadget was really interesting, but even so, the security captain felt a little uneasy when he saw it.

"How's the Blacknose sheep? Are you used to it?"

"It's OK, it just eats the grass." The security captain said, "We can only keep it nearby and pull it over when Zhumu's sheep are herded in a few days."

Luo Hao acted as if he didn't hear anything after hearing this. He didn't comment and fed Dahei a bite and the zombie dog a bite. The two dogs ate with relish and the smile on Luo Hao's face became more and more intense.

Soon Dahei finished eating, and Luo Hao gave the rest to the zombie dog, then took the two of them straight to the panda house.

"Oh~~~Woof~~~"

"Oh~~~Woof~~~"

In the dark night, a strange dog barking sound was heard.

The security captain has been accompanying Luo Hao all the time. He will not miss such a good opportunity to curry favor with others and show off his reputation.

Hearing the cry, the security captain introduced, "This is the cry of the little white fox."

"Why are you so angry?"

"He learned it from his black brother, but he doesn't act like him, he's just a dog."

Luo Hao laughed. Why did the fox have to learn something else but to learn how to bark like a dog from Dahei?

Although it was quite interesting, Luo Hao still didn't even take a look at the little fox's thoughts.

bang bang bang~~~
The little zombie dog beside him was hopping around and following Luo Hao.

As Luo Hao was walking, he suddenly had an idea and turned around to take a video of the little zombie dog.

"Professor Luo, this little guy is very active by nature. He is jumping around and following us on patrol." The security captain said with a smile.

"Oh, I'll make it an auxiliary system someday."

“???” The security guard was stunned.

Luo Hao hasn't figured out what to do yet, but there's no rush, so he went straight to the panda house.

When we arrived outside the panda house, it was lit inside and the doors to the inner and outer areas were open. Wang Jiani was sitting on a bamboo chair, leisurely browsing her phone.

And the bamboo is playing with the bamboo.

The bamboo was quite small and was staggering as it walked. Just as it stood firm, it was lightly touched by the bamboo and fell to the ground.

Even through the glass, Luo Hao seemed to be able to hear Zhuda's whimpering voice and Zhuzi's laughter.

Wang Jiani looked up and saw Luo Hao, she got up to open the door, and Dahei rushed in to play with Zhuzi, but Zhuzi slapped Dahei aside, then ran straight to Luo Hao holding Zhuzi's mouth and twisting his butt.

"Be good." Luo Hao was short of words, and he would just say "be good" no matter who he met.

Taking the bamboo shoot, Luo Hao felt that its fur was a bit hard and prickly.

Giant pandas just look good, but in fact all their toughness is hidden beneath their cute appearance.

Except for the weak belly part, the hair in other parts seems to be aggressive.

Even though the bamboo is big or small, it still has some interest.

But Luo Hao didn't care. He rubbed the bamboo stick and sat on the bamboo chair with a smile.

"Are you busy today?" Luo Hao chatted with the girl while coiling a bamboo stick.

"Not busy, I'm used to it." Wang Jiani said with a smile, "It's just that the broadband at home is broken again. I have to find someone to fix it tomorrow."

Luo Hao had a headache. The broadband had broken down before the Ice and Snow Festival, and Wang Jiani had specially asked for leave to go home to repair it. It had only been a few days, so how could it break down again?

Seeing Luo Hao frowning, Wang Jiani and Zhuzi squatted beside Luo Hao and shook the little hair on top of their heads, "It's okay, I'll do it."

"Let me do it. You're too busy to leave." Luo Hao flicked the little hair on Wang Jiani's head and said with a smile, "It's Chinese New Year soon. I'm not busy there either. The students are on holiday and I don't have to give lectures."

"Really?" Wang Jiani asked Luo Hao with her big eyes blinking.

"Of course, I have nothing to be polite with you."

"Have you eaten?"

"No, I just got off work..."

Luo Hao told Lao Meng what happened when he went to the clinic. It was plain and simple.

There are not many things happening every day, and Luo Hao just regards them as part of his ordinary life, so he shares them with Wang Jiani.

Luo Hao was a little hungry, but he was not used to eating outside recently, and he didn’t know if it was due to psychological effects.

Wang Jiani held the "dog food" in her hand and said, "Luo Hao, do you want to eat it together?"

Looking at the "dog food" for weight loss, Luo Hao shook his head, "Big girl, you don't really need to lose weight. You have a good figure. If you lose weight, you will..."

"No!" Wang Jiani interrupted Luo Hao and insisted, "I've gained weight again recently."

"Oh no." Luo Hao shook his head and stood up to get a piece of cake for Zhuzi to eat.

When Zhuzi saw Bingzi, he turned around and ran away, grabbed Dahei and pretended to play with him.

Although Dahei would still roar at Zhuzi from time to time, that was when Zhuzi didn't care.

Now Zhuzi wants to escape from the most unpalatable thing in the world, without caring about Dahei's mood at all.

Seeing that they were making a fuss, Luo Hao ignored them and sat on a bamboo chair and started eating bamboo cakes.

"You might as well eat dog food with me."

"Food made from bamboo is more nutritionally balanced. I'll try it... but why does it taste so bad?" Luo Hao bit off a small piece and frowned slightly. "No wonder even giant pandas don't want to eat it."

"Zhuzi was also quite disgusted, but when I asked it to eat it, it did the same as you, frowning and eating the biscuit." Wang Jiani said with a smile.

"Let me think about improving it. What flavor do bamboos generally like?"

"Meat! Bamboo likes the same things as me, but it looks better when it's fatter, but I don't look good when I'm fat."

Crunch crunch, Wang Jiani chewed the "dog food".

……

In the emergency department of the First Hospital of Medical University, a patient came to see a doctor, holding his lower right abdomen.

Miao Youfang was writing prescriptions normally, checking for diseases like stones, but after the patient left, he stared at the panel in the upper right corner of his field of vision in a daze.

Ileal perforation?

If it's appendicitis, shouldn't it be a perforated appendix?

The patient had no history of trauma and unexplained migratory pain that was eventually fixed at McBurney's point in the right lower abdomen.

This is the most typical sign of acute appendicitis.

Appendiceal perforation should be in the ileocecal region, and the perforation site may be relatively close to the intestinal tract, so the system diagnosis is ileal perforation.

But there were still problems with his diagnosis. Miao Youfang couldn't convince himself. After hesitating for a while, he called Luo Hao.

If you have any questions, you need to ask someone or consult a teacher. Miao Youfang received education in this area early on and has no psychological barriers at all.

(End of this chapter)