White armor

Chapter 605: Toothpicks in the Intestines
[As the saying goes, a man is a young man until he dies~~]

Luo Hao received a call, picked it up and took a look. It was Miao Youfang calling.

"Xiao Miao, what's wrong? Crunch, crunch~~" Luo Hao asked while chewing on a biscuit.

This thing is really too unpalatable. The recipe must be modified to make it taste better while ensuring nutrition.

Otherwise, eating biscuits would be like taking medicine for the giant panda, which would be very uncomfortable.

"Teacher, I met an emergency patient."

Miao Youfang reported the patient's condition.

But he didn't know how to describe it so as to conceal the matter of the system panel.

"The patient had sudden right lower abdominal pain and mild peritonitis symptoms. If it was a perforated appendix, I don't think it would have happened so quickly."

"Oh, keep an eye on the ultrasound and tell me when the result comes out." Luo Hao didn't care.

Similar situations are not uncommon. Generally speaking, this is because the patient himself is insensitive to pain, and the initial pain in the appendix area is ignored.

Does Xiao Miao have to ask even such a thing?

Luo Hao thought of Madelung's disease.

Xiao Miao must have seen some extremely rare signs during the consultation, and he couldn't understand it. He subconsciously thought there was a problem, so he called himself.

Luo Hao found an excuse for Miao Youfang.

"Crunch, crunch." Luo Hao took two more bites of the biscuit and said, "Big girl, I have to go back first. There is something urgent in the emergency room."

"Oh, are you going home tonight?" Wang Jiani asked Luo Hao pitifully, reluctantly.

"I will be back, but it may be a little late. You don't have to wait for me." Luo Hao stood up and handed the sleeping Zhu Xiao in his arms to Wang Jiani carefully. He rubbed her again, "Doctor, that's it. I'm busy."

"Just wait until you return to the capital. I used to see that the experts and professors were very idle, and all the work was done by the young doctors." Wang Jiani said with a smile.

"Oh, I'm different from them." Luo Hao didn't explain. He rubbed Wang Jiani's little hair and strode away.

Behind me, the bamboo was humming, the big black bird was barking, and in the distance, a dog-like white fox was howling.

Luo Hao thought that if he had time he might as well become a keeper, as it would be more quiet in the zoo.

In fact, there was no need to leave, but the giant panda's biscuits were so unpalatable that Luo Hao couldn't stand it, so he decided to run away first.

Recently, Da Nizi has been trying to lose weight. She has been eating dog food all by herself and doesn't let Luo Hao eat in front of her. Luo Hao feels a little resentful about this.

Gradually, Luo Hao understood Chen Yong's distress. Losing weight is really a torturous thing.

It would be better to finish eating in Corey before going to see Da Nizi in the future. Luo Hao even felt a little regretful, thinking that he should not have made "dog food" for Ye Qingqing, so that now they had to eat this stuff every day.

Although it is easy to use and will not cause nutritional deficiencies, I always feel like something is weird.

There is no good person who eats dog food every day.

After driving back to the First Hospital of Medical University, Luo Hao did not change his clothes. He called for food and went straight to the emergency department.

The emergency department was not very busy at this time. Miao Youfang was sitting in the clinic chatting with the emergency surgeon.

Seeing Luo Hao coming in, Miao Youfang stood up and handed a printed report directly to Luo Hao.

"Teacher, please take a look. This is the patient's report."

Luo Hao greeted the emergency surgeon and picked up the report to take a look.

There is inflammatory exudate in the appendix area, which is a typical case of appendix perforation.

"Where is the patient?" Luo Hao sat opposite the emergency surgeon and started fiddling with the mouse while chatting casually.

"He was admitted to the general surgery department." Miao Youfang reported.

"Oh, appendix perforation. I've seen a case where thick fluid spurted out after the abdominal cavity was opened. The medical staff in the operating room were all stunned at the time."

"Spray out?!" The emergency surgeon was surprised by Luo Hao's description. How high would the abdominal pressure have to be for the spray to occur?

“Well, laboratory tests: blood routine: WBC 22*10^9/L, N 90%. Imaging examination: CT showed a large amount of abdominal effusion and inflammatory lesions.

At that time, based on the patient's symptoms, signs, and auxiliary examinations, it was diagnosed as acute peritonitis and septic shock. An exploratory laparotomy was performed immediately, and the results were shocking after the peritoneum was opened. "

"Because the patient had a large amount of fluid in his abdominal cavity, we chose to perform laparotomy. After opening the peritoneum, thick fluid flowed out like a fountain. The professor in charge was dumbfounded and called Director Qian to take a look at the situation."

"Oh my god, there is so much pus!" the emergency surgeon was surprised.

"Well, Director Qian has never seen this before. The abdominal pressure is extremely high." Luo Hao was chatting casually while turning on the imaging system and seeing the data uploaded by the B-ultrasound.

“The appendix develops inflammatory changes due to a variety of factors, and when it is severe, a hole is formed.

Perforation will usually cause pathological changes such as inflammation, deformity, sinus tract, fistula, etc.

After appendix perforation, a large number of bacteria will be absorbed by the peritoneum and mesentery and enter the blood circulation, causing sepsis and threatening life.

It causes toxic abdominal infection. Severe infection can lead to intestinal necrosis, which is life-threatening. Post-peritonitis can cause intestinal adhesions, leading to complete intestinal obstruction, which is life-threatening.

Luo Hao habitually described the concept of appendicitis perforation, and his attention was focused on the B-ultrasound images.

"Professor Luo, Director Qian has never seen it?" the emergency surgeon asked, "The surgical area must have been contaminated at the time."

"The contamination of the surgical area is nothing. Director Qian went to take a look at the operation and then called the patient's family in."

"Oh my god!" the emergency surgeon was surprised.

"That was the only case I saw where a patient's family member entered the operating room." Luo Hao smiled, found a film and clicked to enlarge it.

B-ultrasound is different from CT. There are only a few representative images left by the doctor in the ultrasound room.

Luo Hao rolled the pulley, his eyes fixed on the ultrasound image, and chatted with the emergency surgeon, "The patient's family was also stunned when they saw it. They didn't expect it to be like this."

"Ha, I've never seen a patient's family member enter the operating room." said the emergency surgeon.

"That's not right. There seems to be something wrong with this patient." Luo Hao frowned, "Xiao Miao, call the general surgery resident manager and tell him that it was my idea. Ask him to do an abdominal CT scan on the patient."

"Huh?" The emergency surgeon was stunned. "Professor Luo, what did you see?"

Although Miao Youfang didn't understand what Luo Hao was going to do, he still followed Luo Hao's request and made a phone call to ask the general surgery department to order a CT scan.

"Here." Luo Hao drew a circle on the image with the mouse. The emergency surgeon had no idea what Luo Hao was drawing.

The location of his painting seemed to be no different from the surrounding picture, at least the emergency surgeon couldn't understand it after looking at it for a long time.

"Professor Luo, what is here?" the emergency surgeon asked Luo Hao in confusion.

"I don't know. There's something wrong with the image here." Luo Hao said, "The main thing is that the image of the fluid accumulation in the appendix area doesn't look like appendix perforation. The location should be a little higher, near the ileum."

The emergency surgeon still didn't understand. After Miao Youfang made the call, he stared at the screen in a daze. At this time, he vaguely felt that some things were not omnipotent.

Watching movies is a skill, which is particularly important at this moment.

Miao Youfang couldn't understand the subtle differences and differential diagnoses in the ultrasound images, so he didn't say a word.

"Well, that's indeed not right. Xiao Miao, come with me." Luo Hao stood up.

"Professor Luo, where are you going?" asked the emergency surgeon.

"Take the patient to the general surgery department to have a CT scan." Luo Hao said, "It's okay if he needs surgery, but this patient is very likely to avoid surgery."

“???” The emergency surgeon looked bewildered.

He didn't understand a word Luo Hao was saying.

Arriving at the Department of Gastrointestinal Surgery, Luo Hao saw Professor Lei sitting in the office in casual clothes with a dead look on his face.

he?
Wasn't he in jail? For bigamy, why was he still in the hospital? Luo Hao was a little surprised.

But the surprise was only fleeting, and Luo Hao did not show it. Instead, he greeted Professor Lei.

"Professor Lei, what happened?" Luo Hao asked gently.

"..." Professor Lei was a little embarrassed. He didn't expect Luo Hao to come.

He originally thought that he wouldn't run into many acquaintances when he came here after get off work, but he never expected that the more he didn't want to see someone, the more he would see them.

After hesitating for a while, Professor Lei looked constipated, but still explained to Luo Hao, "A relative of mine has a stomachache. He had an ultrasound and nothing was wrong. He came to the department to get an IV drip."

"Oh, then you go ahead and be busy." Luo Hao smiled, as if nothing had happened and he knew nothing.

"Boss, has the patient just admitted to the emergency department been examined?" Luo Hao asked.

The hospital manager immediately replied, "It's open, and the patient's family is preparing to take him for a checkup."

"Oh."

"Professor Luo, is he your relative?" the resident manager asked.

"No, Xiao Miao saw the patient in the emergency room and thought the diagnosis might be a little problematic."

The hospital manager was stunned. "Appendix perforation and peritonitis, there's nothing wrong with it. We have B-ultrasound images, and the test indicators are consistent."

"Not necessarily. I'll check the CT scan later." Luo Hao said.

The resident manager was a little confused, but he did not continue to question Luo Hao. Instead, he followed and carried the patient all the way to the CT room.

"Professor Luo, is Xiao Miao the new doctor in your group? The young man works efficiently and is a nice person." The resident manager asked curiously on the way.

"No, he took the postgraduate entrance exam this year and came to me right after he took the exam."

"Ha, that's amazing! I didn't know anything back then, but I managed to pass the retest. I'm lucky."

"You are an undergraduate from our hometown and you are applying for a graduate degree from our hometown, so it is relatively easier. Xiaomiao is a non-key undergraduate, so it is a little more difficult." Luo Hao smiled.

The resident manager turned around and looked at Miao Youfang carefully, taking a good look at him.

This guy is pretty good. He can lower himself to look for the professor... No, no, the resident manager suddenly realized what he had missed.

"Professor Luo, do you mean that you are recruiting graduate students now?!" asked the resident manager.

"Yes, Principal Wang has approached me several times. It's easier for me to supervise graduate students at Union Hospital, but it's harder to supervise PhD students." Luo Hao sighed. "Many big men in the health care group can't supervise PhD students, especially those who received their undergraduate degree from other schools and their master's and doctoral degrees at Union Hospital. They are considered to have impure bloodlines and are even more excluded."

The hospital manager was speechless. Does Union Hospital have so many explanations?

It’s not possible to study for a master’s or doctoral degree at Peking Union Medical College?
A few years ago, it was said that Peking Union Medical College traveled around the country every summer to recruit top talents to study at Peking Union Medical College, but then they looked down on them for their "impure bloodline"?
Is Concord so unreasonable?

"Professor Luo, when you...recruit doctors...do you think I'm suitable?"

Although he thought so in his heart, the boss still asked tentatively.

"Ah? Ha." Luo Hao laughed.

"How about I take the postgraduate exam to get a degree?" the resident manager thought to himself.

"Oh, no need, no need. How come Professor Lei is not detained?" Luo Hao lowered his voice and asked gossip, changing the sensitive topic of the hospital manager. The hospital manager also knew that it was not easy to become Professor Luo's master's student, so he just said it casually, and when he saw Luo Hao changing the subject, he also changed the subject.

"Professor Lei should reach an agreement with his wife, leave the house with nothing, and give her a portion of the money separately to avoid lawsuits." The hospital manager replied in a low voice.

"Oh, is that so? That really hurts your vitality."

"The most pitiful thing is not this, but that something happened on his side. The couple had a fight and then lived together again."

"Didn't she give birth to a child for him?" Luo Hao wondered.

"The genetic test is not from Professor Lei." The resident manager had a strange expression on his face, as if he wanted to laugh, but he didn't.

Gan!
There are so many things to do. Professor Lei must have gone crazy from writing the thesis.

Because of their deep love, they went together to give the child a name, but it turned out that the child was not theirs.

Isn’t this nonsense?

Luo Hao was also at a loss whether to laugh or cry. Professor Lei could be said to be a big enemy, a very big one.

"So Professor Lei is back to work?"

"Not yet. He said he would be back after the New Year. He was hit hard this time. I think he has aged at least ten years. His temples are all white. And he avoids everyone. He still has his dignity, unlike Director Yang." The resident manager sighed.

But his sigh was just a gesture. It would not be appropriate to laugh at Professor Lei in front of others.

As for Director Yang, Yang Jinghe doesn't care what others say.

As he spoke, he came to the CT room. Although the resident manager did not understand why Professor Luo followed the wishes of the elementary school student, he still stood behind the computer and watched it carefully.

Soon, images appeared frame by frame, and suddenly a very dazzling image appeared in the field of vision of the hospitalized CEO.

A short piece of white stuff was scanned out.

The end of the ileum, near the appendix.

"Fuck!" The hospital manager was surprised, "Professor Luo, what is this!"

"It looks like a toothpick." Luo Hao breathed a sigh of relief after finding the specific object. Miao Youfang beside him stared at the CT image without saying a word.

"Toothpick? How did this thing get in so deep?" asked the resident manager.

"How would I know?" Luo Hao shrugged. "I met a patient with a foreign body in his heart at Union Hospital. The foreign body was a toothpick."

"!!!" The hospital manager was stunned.

"The key point is, the esophagus and blood vessels were not damaged, and the toothpick appeared in the heart as if it had teleported. At that time, we asked several bigwigs from Fuwai Hospital to come for consultation, but no one could figure out what was going on."

"Yes, isn't it usually caused by puncturing the esophagus and allowing foreign matter to enter the large blood vessels? But this is not common. It's usually caused by a problem with the aorta, and they need an elephant trunk surgery or something like that." The resident manager didn't understand.

Luo Hao had just finished a similar operation. He shook his head and said, "I'm leaving."

"Professor Luo, why don't you go up?" asked the resident manager.

"Oh, your surgery, why would I go up there? This time I'm mainly here to answer Xiao Miao's questions, so I just came to take a look. I haven't eaten yet."

Luo Hao didn't say anything more and took Miao Youfang back to the department.

"Teacher Luo, I'm sorry you came here so late at night." Miao Youfang apologized in a low voice.

"What's there to apologize for?" Luo Hao said, "You should ask me questions if you have any. Imaging is the basis of our interventional department. Go back and buy two books and read them carefully. If you don't understand anything, feel free to ask me."

"Yeah." Miao Youfang nodded.

"By the way, books are not cheap nowadays. Remember to get a receipt and give it to Xiaozhuang, and the project team will reimburse you."

“???” Miao Youfang was stunned and waved his hands repeatedly, “No, no, no.”

"Scientific research needs and echelon training are serious matters, not shameful things." Luo Hao said seriously, "I'll go back to eat and then go home. Where do you live?"

"My uncle found me a house next to the hospital, just a five-minute walk away."

Luo Hao smiled, thinking that was where Yang Jing was dating her lover.

That's a good place. You can just change into white clothes and go there. When you're done, come back to work without delaying anything.

Now it is given to Miao Youfang to live in. I guess Yang Jinghe also has high hopes for Miao Youfang.

Luo Hao didn't care much about what Yang Jinghe thought and strode towards Corey.

The panda's biscuits are terrible, and they must be improved in the future. I really don't know how Danizi, Zhuang Yan, Ye Qingqing and the others can eat dog food. As they walked, Luo Hao thought of this again and complained in his heart.

"Teacher, I will buy some books on imaging later." Miao Youfang said.

Generally speaking, those who can score 425 points have a solid foundation. Luo Hao took out his mobile phone and sent him the names of several books.

To be more specific, Luo Hao didn't have time to teach in detail from the beginning, so Miao Youfang had to learn everything on his own.

When he returned to Corey, the food had already arrived and Luo Hao was salivating.

Normally he does not like to eat, but that is not because he is hungry. To be more precise, he is just full.

Luo Hao sat down directly, ignoring Meng Liangren and Zhuang Yan's greetings, and started eating after opening the box.

"Professor Luo, haven't you eaten?" The resident manager came over and tried to improve his intimacy with Luo Hao.

"Well, no, I'm hungry." Luo Hao said hummingly.

Miao Youfang stood beside Luo Hao embarrassedly.

"Xiao Miao, have you eaten?" Luo Hao pointed at the food.

Miao Youfang swallowed his saliva.

"They've already eaten. There was still a smell in the room when they came in." Luo Hao ate by himself. "If you haven't eaten yet, come and have a bite. Our group doesn't care about that."

Miao Youfang thought about it, sat down, picked up the chopsticks and ate with Luo Hao.

"Professor Luo, you don't seem to be very interested in food." The resident manager continued to increase his intimacy.

"I was actually fine before, but then I went to a meeting with Director Qian, a global academic conference, and saw a pervert there. I seldom ate it since then."

"Oh? What's that perverted?" asked the resident manager.

"The bone-swimming cuisine of this book." Luo Hao said, "It looks really disgusting."

“???” The inpatient manager expressed his incomprehension.

"Bone-swimming cuisine is literally about shaving the meat off a live fish. The chef's knife skills must be superb so as not to damage large nerves or anything like that. The fresh fish meat is placed on one side and eaten raw, and in the middle is a fish tank, where the remaining bones continue to swim."

"!!!"

"!!!"

"!!!"

After taking a few bites of food, Luo Hao felt much better and his mild hypoglycemia symptoms were also relieved.

"So perverted!" The hospital manager was stunned.

"Oh, a lot of food is cruel, like shark fins. Shark meat is not tasty, so after cutting it off, the shark is thrown back to die on its own. Without shark fins, the shark has no time to swim, so it just waits to die."

"..."

"I've never eaten a live donkey, but it's said that the Eight Banners of the Qing Dynasty liked that. Eating while listening to the donkey's bray, this is really not the fault of the pervert, humans are just full and have nothing better to do."

"Professor Luo, your point of view is too extreme." The resident manager said with a smile.

"Not bad. What was the name of Lu Xun's first vernacular article?"

"Diary of a Madman."

"Diary of a Madman."

Zhuang Yan said to her colleague who was in hospital.

"Liu Cixin's The Three-Body Problem makes the idea clearer. They are all similar. We live in a good era and cannot feel it."

Luo Hao ate very quickly and seemed really hungry.

"Professor Luo, why are you eating so fast today? You usually tell us to slow down and be careful about overeating." Meng Liangren asked with a smile.

"I ate a piece of bamboo cake in Hadong, it was really unpalatable." Luo Hao sighed, "It's not unpalatable in the simple sense, but my mouth was dry after eating it, so I wanted to eat something salty to offset it."

"Hahaha."

There was a burst of laughter in the office.

The panda’s biscuits are legendary. There are many of them in the short video. It seems that all the pandas are not interested in biscuits, and can even be said to reject them.

Luo Hao finished his meal with big mouthfuls, leaned back in his chair and looked at Miao Youfang.

Miao Youfang eats very slowly, or rather, at a normal speed.

"Xiao Miao, the busier the department, the faster people eat." Luo Hao said with a smile.

"Yeah, I know." Miao Youfang smiled, which was rare. "Teacher, you go back first. I'll finish eating and clean up before going to the emergency room."

Luo Hao nodded, chatted with Lao Meng Xiaozhuang for a few words, then turned and left.

Going downstairs, swiping the card to open the medical elevator, Luo Hao was surprised to see Professor Lei and a stretcher there.

"Professor Luo." Professor Lei was a little embarrassed.

"Professor Lei, I'm busy." Luo Hao greeted him casually.

"Oh, I had diarrhea originally, but I didn't expect to have pain in the precordial area. The T waves in leads II, III, aVF, and V2-V4 of the electrocardiogram are inverted."

"Oh? What's going on? Is there any contact on the loop side?"

"Yes, I've contacted them." Professor Lei was reluctant to speak and looked listless.

Luo Hao understood.

Who hasn't done ridiculous things? But Professor Lei is a little stupid. His ridiculous things are completely different from Yang Jinghe's. He is the kind of idiot who can be put in a museum and have his photo hung on the wall.

The elevator was very crowded. Seeing that Professor Lei was unwilling to talk, Luo Hao subconsciously turned on the AI-assisted diagnosis and took a look.

???

There was no acute myocardial infarction in the diagnosis!
Luo Hao was stunned for a moment.

Professor Lei is too unreasonable. How could he even misdiagnose his own relative as having a heart attack?

(End of this chapter)