White armor
Chapter 625: Either Dirty or Sick
Chapter 625: Either Dirty or Sick
"anyway."
Seeing that his topic was rather off topic and neither Lao Meng nor Xiao Zhuang dared to join in, Chen Yong changed the subject and brought it back.
"In China, whether it's cultivators or ordinary people, the prejudice is not that deep. What's the difference between ants and not ants? If there weren't a bunch of ants practicing without caring about their lives, there would have been a lack of talent long ago."
"Look at the Muggles and wizards, and then look at the Funius Mountains."
"Yeah, that's right. It seems that the Funiu Mountain side was not open to the public at the beginning." Zhuang Yan raised a rebuttal in an affirmative tone.
"Oh, that was because Taoist Qi was annoyed and delayed his cultivation. What happened later? He was called in for a talk, but he still opened for business. What do you call this? This is called theocracy."
"..."
"..."
Lao Meng and Xiao Zhuang were silent again.
Brother Yong really dares to say anything now.
Lao Meng felt that it was a sin to hear these words.
He kept repeating in his mind, hoping that the gods and Buddhas would not blame him.
"It's clearly written in the legal text that reincarnation and rebirth must be approved." Chen Yong said, "Do you want to learn law? Even if you have no interest in it, you should still read the basics."
"I know, but it's a bit scary to talk about it." Meng Liangren tried hard to smile.
"Then I won't say anything." Chen Yong curled his lips, "But you see, Taoist Qi still tells fortunes for ordinary people, right?"
He suddenly lowered his voice and looked around. "At the very least, it's not wrong to say that he's a psychologist, right? Aren't those psychologists nowadays also helping people 'vent their emotions' all day long?"
Zhuang Yan chuckled and nodded repeatedly: "Brother Yong is right."
She came closer with curiosity. "What about you? With all your skills, will you take the psychologist's license exam in the future so that you can work with a license?"
Chen Yong's eyes lit up and his back straightened unconsciously.
"In clinical practice," he deliberately dragged out the tone, tapping his fingers on the table to form the shape of the Big Dipper, "for you, it is to cure diseases and save lives, for me," he suddenly lowered his voice, "it is all a lot of merit and golden light!"
As he spoke, he suddenly pulled out an old copper coin from his pocket and turned it flexibly between his fingers. The words "Qianlong Tongbao" could be vaguely seen on the surface of the copper coin, but the edge was glowing with an abnormal green luster.
"Brother Yong, please tell me more details."
Meng Liangren scratched his head. What Chen Yong said was completely different from what he asked.
"Actually, it's the same over there. Magicians will always have certain treatment, and it's more rigid than ours, just like Muggles and wizards, they are almost reproductively isolated."
Chen Yong didn't talk much about his merits, but changed the subject.
"The Queen."
"I don't really know. After all, I have yellow skin and I'm not a naturalized Chinese citizen. I just have talent and learn very quickly. It's probably a coincidence." Chen Yong said, "Also, I didn't understand a lot of things at that time. I was confused. Now thinking back, it's quite interesting."
"For example?" Zhuang Yan was curious.
Chen Yong didn't say anything again, just sighed softly.
It is estimated that Meng Liangren has an affair with a woman. Chen Yong is a very romantic man. It would be strange if he behaved himself in the UK.
Maybe he had a brief romance with a princess.
"Let's not talk about this." Chen Yong perked up, "Old Meng, you have enough materials for the promotion, right?"
This time he simply ended the topic directly.
"That's enough, Jin Zhenggao is more than rich enough." Meng Liangren said quickly.
"Okay, Xiao Miao... Aren't graduate students admitted in March to May? Why haven't I heard Luo Hao mention it?"
As long as Miao Youfang is not undergoing surgery, he goes to the emergency department to help, starting from the most basic things. He and Zhuang Yan are taking two different paths.
"It's so boring." Chen Yong began to complain.
Meng Liangren smiled, looking at "Little Meng" beside him, and thought to himself how nice it would be if he could always be boring.
I used to pick up lead vests for Professor Luo, but later they were snatched away by Xiaozhuang. From then on, this job was done by robots.
Now?
Even the medical records were written by robots. I was lucky enough to be the last one to get on board and had a job responsible for reviewing the medical records written by the robot.
If it were any later, I'm afraid there would be no place for me in Professor Luo's medical team.
Meng Liangren felt a little worried, and he thought about going to 912 to undergo a vagus nerve section to treat his hyperhidrosis.
But speaking of surgery, there are now robots. After my hyperhidrosis is cured and I learn surgery, by the time I can perform surgery, I'm afraid that the clinic will be flooded with AI robots.
When he thought of robots everywhere, Meng Liangren tied up his own hair and was in a daze.
"Old Meng, what are you thinking about?" Chen Yong asked.
"Doctor Chen, how long do you think it will take for Professor Luo's unmanned hospital to start operating?" Meng Liangren asked vaguely.
“The ground has already been broken.”
“???” Meng Liangren was stunned.
"Luo Hao's idea is to build it first. At the beginning, it can be as big as a health center, and do tests every day."
"Oh." Meng Liangren felt lost.
Everything was happening so fast that I couldn't take it all in. It was like I had gotten off a green train and stepped directly onto a Fuxing train.
I am being pushed forward.
"Old Meng, don't worry." Chen Yong understood Meng Liangren's worries and advised, "It's not a year ago. Why would Luo Hao abandon you now?"
Meng Liangren smiled and looked at "Xiao Meng" deeply again.
"Doctor Meng, there is a consultation." "Xiao Meng" reminded.
Meng Liangren turned around and took a look. It was the general surgery department looking for Professor Luo for a consultation. The consulting doctor's name was clearly written as Luo Hao.
Guessing that this was Director Chen Yan's intention, Meng Liangren opened the medical record and took a look.
It’s not liver cancer!
The patient was a 43-year-old female who came to the hospital for treatment because a mass in the abdominal cavity was found during a physical examination more than a year ago.
During a physical examination 1 year ago, abdominal CT scan showed liver hemangioma, which ruled out other possible tumors. Abdominal ultrasound showed: solid mass in the liver (hemangioma?), hypoechoic mass in the spleen (further review recommended).
"This patient came to us for a consultation. Does he want to do an angiography first?" Meng Liangren said to himself.
"Let me see. Platoon 64 didn't do it. What does Director Chen think?" Zhuang Yan was also a little confused.
Chen Yong glanced at the image, said nothing, and went back to writing.
Chen Yong is now the main force in the medical team's diplomacy within the hospital. After all, every SCI paper is solid.
The vast majority of people support Chen Yong, and he seems to play an even greater role than Luo Hao.
After all, ordinary doctors, resident managers, and professors may not be able to find Luo Hao. Even if they have unclear diagnoses or difficult surgeries, they cannot find Luo Hao.
But publishing a paper is different.
This is an urgent need!
Chen Yong has completely inherited Luo Hao's magic. Publishing SCI papers is as easy as drinking water. Especially for top journals, he has his own channels.
"Brother Yong, what do you think after reading it?" Zhuang Yan asked.
"It's nothing. I guess it's because this thing is difficult to diagnose, so I want to ask Luo Hao to perform the surgery together." Chen Yong thought about it, shook his head, thought about it again, and shook his head again.
"Brother Yong, what are you doing?"
"It's okay, I'll call Luo Hao."
Chen Yong picked up the phone, but did not call. Instead, he left a message for Luo Hao.
Luo Hao has classes today, so he went to the Medical University.
There was no rush for the chronic disease consultation, and Luo Hao came back two hours later.
"Cool down, it's quite cold outside." Luo Hao said, rubbing his hands.
"Director Chen seems unsure." Chen Yong said.
"Oh? What patient?" Luo Hao sat down, turned on the computer and took a look.
At this time, the 64-row CT image also came out. Luo Hao scanned it and smiled.
庄嫣见64排ct显示——肝右叶外缘及脾脏下缘占位,双侧肾动脉分支分别供血。大小分别为:8*5cm和5.5*2.8cm。
The imaging diagnosis is also ambiguous, considering: benign neoplastic lesions, hemangioma? Epithelioid hemangioendothelioma?
"Xiao Zhuang, let me test you. What is this?" Luo Hao asked.
"It looks...it looks...benign." Zhuang Yan replied vaguely and hesitantly.
"Xiao Meng."
"Xiao Meng" turned around and said to put down the medical records in his hand without any hesitation.
If there is any difference between it and humans, this is the biggest difference.
"Professor Luo, it's uterine fibroids." "Xiao Meng" gave the diagnosis directly.
“……”Zhuang Yan was stunned.
She never expected that "Xiao Meng" would give this diagnosis.
"Well, last year I took a patient to see Mr. Lang at Union Hospital. It was a similar medical record, but that patient had a thin kite string. This one is a little vague, but the image is a very standard leiomyoma. I think it's a uterine fibroid."
Luo Hao explained.
"Senior Brother? How did you make that judgment? Please tell me in detail." Zhuang Yan looked at "Xiao Meng" deeply, feeling very unconvinced.
"I still remember a special case I encountered during my internship. When I opened the abdominal cavity, I found that the intestines were covered with fibroids of various sizes.
The patient's stomach was swollen as if she was pregnant. It swelled severely. It started with the uterus, so the uterus was removed as well.
But the whole abdominal cavity was growing. I had 5 removal surgeries, but there was no cure. I remember my teacher said, "Benign lesions, malignant behavior."
“There are similarities with this patient.”
Luo Hao seemed to have started reminiscing and cited two examples in succession.
Zhuang Yan folded her hands on the notebook, her fingertips unconsciously stroking the edge of the paper.
She leaned forward slightly, her eyes fixed on her senior brother Luo Hao, waiting for him to explain why he judged it to be uterine fibroids.
"Are you waiting for my explanation?" Luo Hao looked at the image, as if he was still recalling something. A few seconds later, he saw Zhuang Yan waving her hand in front of him and asked in confusion.
"Yes."
"Abdominal tumors and leiomyoma basically come from the uterus."
"..."Zhuang Yan was silent. She did not refute and wrote down what Senior Brother Luo Hao said.
"Oh, why do you seem unconvinced?"
"Brother, when will the brain-computer interface be released?" Zhuang Yan asked, "I want to input it into the medical records database."
"Stop it." Luo Hao stopped him. "The current cutting-edge theory is that the interaction between brain neurons is at the quantum level. The more specific details have not been studied yet. If you put on the brain-computer interface, the medical records may not be remembered. What if you get stupid first?"
"How could that be? I think brain-computer interfaces can treat many diseases now."
"You call this treatable when there isn't even a control group? Your criteria for judging treatment are too poor." Luo Hao said with a smile, "Xiao Meng is a robot, AI diagnosis, you can just use it, why make yourself a robot?"
"I..." Zhuang Yan hesitated to speak.
"I'll write the consultation notes, you guys go ahead and do your work."
Luo Hao finished writing the consultation record, reviewed it, and finally clicked confirm. Luo Hao did not have many consultations. Only a few directors he was familiar with were willing to consult with Luo Hao and directly ignored Shen Zizai's existence.
……
……
Chen Yan sat in his office, unconsciously twirling his slightly graying beard with his fingers, staring at the consultation opinion on the computer screen in a daze.
The reading glasses slid to the tip of his nose, and the cold light of the CT images was reflected on the lenses.
“Considering uterine fibroids, is surgical removal recommended?”
He muttered to himself, and the image on the screen indeed showed the typical features of leiomyoma - clear boundaries, intact capsule, and enhanced scanning showing a "fast in and slow out" enhancement pattern.
but.
Chen Yan leaned back suddenly, and the old swivel chair creaked under the weight.
He grabbed the old-fashioned magnifying glass on the table and almost pressed it against the screen to examine the pelvic anatomy.
Yes, the tumor is indeed close to the broad ligament, so it is theoretically reasonable to say that it is an ectopic uterine fibroid.
However, Chen Yan did not agree with this diagnosis.
"Professor Xiao Luo is too confident." He took off his glasses and rubbed his sore eyes.
Outside the window, dusk gradually deepened. The last ray of setting sun shone obliquely on the banner on the wall. The four golden characters "Skillful Hands and Kind Heart" glowed faintly.
He was a little helpless, but his attention was focused on Luo Hao's diagnosis.
Uterine fibroids, uterine fibroids.
Chen Yan jumped off the chair. He was quite short, so he had to jump anyway.
Is there something wrong with Xiao Luo’s diagnosis?
He walked out of the department with his hands behind his back.
The patient's surgery is not a problem. Even if there is adhesion, it can be removed by peeling. There is no need to consult Luo Hao.
Chen Yan was used to it, so he just mentioned it casually and the doctor below arranged a consultation.
But Luo Hao actually said it was uterine fibroids in the liver.
Arriving at the interventional department, Chen Yan walked to the door of the doctor's office and asked, "Xiao Luo?"
"Director Chen." Chen Yong stood up, his mask slightly puffed up, probably because he was smiling.
"Xiao Chen, are you writing your paper?" Chen Yan stroked his beard and patiently greeted Chen Yong.
Chen Yan knows very well how awesome it is to have a doctor who can publish top-notch SCI papers.
Even if you don't need it yourself, your doctors can always use it, so having a harmonious relationship with them is the best option.
"Well, Director Chen, you give the instructions." Chen Yong joked.
Chen Yan laughed, "I came to chat with Xiao Luo, where is he?"
"He said there was a patient with a problem in the emergency department, so he took Xiao Meng to check out the situation." Chen Yong replied.
At this point, Chen Yong suddenly perked up, "By the way, Director Chen said that it should be taken into the nerves, but Xiao Miao felt that there was something wrong, so he suggested taking it into the digestive system."
"???"
Nerves and digestion are hundreds of miles apart, how can they be confused?
"I'll go take a look." Chen Yan said, "By the way, Xiao Meng is a robot made using Lao Meng as a template."
"Well, I just joined the department, and I can write medical records pretty well. Director Chen, if you need anything, just tell Luo Hao. It may be a bit problematic to write medical records, but it's still okay to use it as a resident trainee."
Chen Yan nodded.
He turned to leave, but heard footsteps behind him.
Chen Yong followed and said, "Director Chen, I'll go with you."
Chen Yan was quite satisfied. Everyone in Luo Hao's medical team was more capable than the other. Chen Yong was a little withdrawn at first, but after a year, he was able to provide emotional value to others.
"Xiao Chen, would you consider coming to my department?" Chen Yan asked with a smile.
He didn't want to poach Chen Yong, but just wanted to express his admiration for him.
"Okay."
Chen Yan was stunned for a moment, then he suddenly realized that Chen Yong was just talking nonsense.
If you talk nonsense, others will follow your lead.
It’s not Chen Yong’s fault.
"Xiao Chen, let's talk about something serious. You are familiar with the Funiushan area, right?"
"Cooked."
"After the Ice and Snow Festival, they said the Taoist temple in Funiushan Mountain was closed for renovation."
"Master Qi was annoyed enough and said he was upset, but he couldn't tell the Business Administration department about his instability, so he just renovated it." Chen Yong smiled, "There were too many tourists during the Ice and Snow Festival, which was indeed a little annoying."
"I'll go burn some incense in a few days, is that okay?"
"Let's not talk about this. Let me tell you a fortune." Chen Yong walked beside Director Chen Yan and said with narrowed eyes, "If there is anything, let's change it for small things."
"Oh?!" Chen Yan's beard almost stood up.
"I'm quite professional in this area. I usually don't do it for others, but Director Chen, you are not an ordinary person."
Chen Yong was not just saying this casually. Chen Yan looked at him seriously and said, "Xiao Chen, are you telling the truth? You are not kidding me, are you?"
"Director Chen, look at what you said. You can joke about other things, but how can you joke about this?"
"How much? I heard that if I ask you to tell my fortune, the starting price is A7."
"It's not that money is far away, just don't tell anyone else. Otherwise, people will come to me every day, and I can't stand it."
"Okay, okay." Chen Yan grabbed Chen Yong's hand and said, "I want you to help me calculate the fate of my son."
"what happened?"
"I found a girlfriend. I don't think we are a good match, but that kid is obsessed with her and insists on having her... Alas." Chen Yan sighed deeply.
"Senior year? Planning to get married right after graduation."
"Yes." Chen Yan twirled his beard and walked to the emergency department while talking to Chen Yong.
"The college entrance examination is only a few months away, and I can't be hospitalized."
A voice came from the consulting room.
"Oh, kids nowadays are so clumsy. I saw one child who was diagnosed with bipolar disorder. His mother was still worried about whether he could miss classes during the treatment." Chen Yan sighed.
"I am just worried about you. In the Northeast, we only have one child per family." Chen Yong followed up Chen Yan's words and said, "In the South, there are three or four children per family. Who has the time to care about so many things?"
"Who said it?"
"Lao Liu, the technicians he used to know at Liangzi all came out to work after having their second child at home." Chen Yong said, "But Lao Liu has been much more stable recently, which is good."
Chen Yan knew what disease Technician No. 66 had, but he didn't say much.
Suddenly, there was a bang in the clinic and a man in his forties rushed out.
"I still have to take the college entrance exam! I'm not sick, don't expect me to be hospitalized!"
He reeked of alcohol, and Chen Yan could smell it clearly even from four or five meters away.
Chen Yong was also stunned. This must be a mental problem. It's right to send him to the neurology department. What does this have to do with digestion?
As he thought about it, Chen Yong's hands started calculating unconsciously.
Chen Yan noticed this and he looked intently at Chen Yong's fingers.
Chen Yong's fingers were slender, like jade. Chen Yan sighed, no wonder Chen Yong was so playboy before, it was said that many girls had a hand control.
No wonder, no wonder.
Soon, Chen Yong's fingers stopped.
"How about it?"
"It's either dirty or sick." Chen Yong said.
At this time Miao Youfang ran out and grabbed the man, but the man waved his hand and pushed Miao Youfang away, and Miao Youfang staggered.
But the man seemed to be exercising a bit too vigorously, with his head in his hands and his shoulders against the wall.
"Are you feeling dizzy?" Luo Hao came out and asked gently.
"I feel a little dizzy and sleepy. I want to go home and sleep." said the man.
At this time, a nurse passed by with an IV cart. The man's eyes lit up and said, "Little girl, leave me your WeChat."
"..."
Chen Yan thought he was sick.
One moment he wanted to take the college entrance exam, the next moment he wanted the nurse's WeChat. This was a typical case of mental disorder. At least there should have been a preliminary diagnosis - viral encephalopathy.
"Stop making trouble." Luo Hao stood between the nurse and the patient and smiled, "Where are the family members?"
A woman came out with a grim look on her face.
"He is sick, let's see if he can be admitted to the hospital first." Luo Hao explained.
"It would be better if you died!" the woman scolded unhappily.
"Not really, not really, it's caused by illness." Luo Hao said, "What do you think?"
"Why are you staying in the hospital!" the woman scolded.
Chen Yan noticed that Luo Hao glanced at the camera on the upper side.
"Based on the patient's medical history, I think the patient has encephalopathy caused by pancreatitis. If he is not hospitalized, the consequences will be very serious."
"Are you a doctor? The amylase levels in blood and urine are normal, and you tell me it's pancreatitis? Has the level of the First Hospital of Medical University dropped so much now?" the woman cursed at the top of her lungs.
She vented all her dissatisfaction with men on Luo Hao.
"This is what we think. We recommend that your loved one be hospitalized for treatment. Even if it's not pancreatitis, viral encephalitis requires hospitalization. You can see that his condition is not good."
"Not good? He's full of energy and asked for the nurse's WeChat, and you tell me he's not in good condition?!"
The woman was extremely angry and started cursing at Luo Hao, pointing at his nose.
Chen Yan saw from afar that her saliva almost splashed onto Luo Hao's face.
But Chen Yong next to him not only did not take off his mask to calm the situation, but watched with a smile, and it seemed that all he needed was a handful of melon seeds and a handful of peanuts.
"Xiao Chen, don't you want to go and persuade him?"
"Me? How can I persuade him?" Chen Yong said with a smile, "Luo Hao has spoiled Miao Youfang too much. Miao is not even his student yet, but Luo Hao took a random diagnosis seriously. Director Chen, if he really took Miao Youfang as his student, he would spoil her to the sky."
"Pancreatic encephalopathy refers to the direct effect of toxic substances and pancreatic enzymes released by diseased pancreatic tissue on the brain, as well as brain ischemia and proteinemia caused by shock, which cause brain damage."
"Generally, pancreatitis occurs about 5 days after onset, but the frequency is not high," Chen Yan explained. "We occasionally saw it when we were performing pancreatitis surgery in the past."
"Now that the medicine is ready, I don't have to do it anymore, which makes me feel relieved." Chen Yong said with a smile.
"Yes, we peeled off a layer of skin from a patient who had a severe pancreatitis operation. We peeled off a layer of skin too. The probability of success of the operation was too low. There were many drunkards at that time. The county and city hospitals below always sent patients with severe pancreatitis to the provincial capital. It was a headache."
"Director Chen, please tell me, have you ever seen pancreatic encephalopathy with normal blood and urine amylase levels?"
Chen Yan shook his head.
(End of this chapter)
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