White armor

Chapter 626 Thanks to the Early Diagnosis

But Luo Hao did not force it. He just explained the situation and the patient's family took the patient away.

"Luo Hao, why didn't you keep them in the hospital?" Chen Yong walked over and asked puzzledly.

"Detention? It's against the law."

"..."

"..."

Chen Yan twirled his beard with his hand and looked at Luo Hao with a smile.

Professor Xiao Luo must have encountered a difficult problem this time and got himself into trouble.

Either the diagnosis is wrong and the patient is fine, he just drank too much at noon and is talking nonsense.

Or, if the pancreatic encephalopathy patient leaves the hospital, the fulminant pancreatitis will appear in about 3-5 days, and the patient will most likely not have the opportunity to receive diagnosis and treatment.

Although Luo Hao is not an emergency physician, he can't escape once he gets involved in this matter.

Professor Xiao Luo, who is usually as clever as a ghost, also met with this day. Chen Yan stood aside and watched the fun with a smile on his face.

This kind of problem is a dead end that cannot be solved at all, and it has nothing to do with the level of diagnosis.

As to whether Luo Hao's diagnosis was right or wrong, or whether he was just making up excuses and talking nonsense to protect his son, no one knows.

"Okay, Xiaomiao is good. You knew to call me." Luo Hao turned around and praised him, then turned and left.

"Xiao Meng" followed Luo Hao, very silent, without a word.

Seeing Luo Hao leave, Chen Yong still didn't answer, "Luo Hao, how are you going to solve this problem? If the patient has fulminant pancreatitis, and you don't tell me whether he is dead or not, the patient's family will definitely complain to you."

"How would I know? Sometimes I really get annoyed by this. We've already made it clear, but they insist on leaving. If something happens, they'll come to the hospital. They're just like people who answer scam calls. They either want to make a fortune or go to the police if something goes wrong."

"..."

"What do you call this? This is called a socialist giant baby!" Luo Hao said disdainfully.

"Don't complain. I have two questions. One is how did you diagnose pancreatic encephalopathy? The patient's blood and urine amylase levels are normal. The other is that if you get involved in this, you will definitely have some trouble in the future."

Chen Yong was not led astray by Luo Hao and asked.

"Ask Xiao Meng about the diagnosis. I'll go call Director Feng." Luo Hao picked up his phone and found a secluded place to make the call.

Chen Yong looked at "Xiao Meng" and really began to ask, "Xiao Meng, how did you diagnose it?"

Chen Yan frowned slightly. This was the AI ​​intelligent robot invented by Professor Xiao Luo. What diagnosis did it give?
Is this thing reliable?

"Brother Yong." "Xiao Meng" said affectionately, "The patient is addicted to alcohol. He can usually drink about 2 kilograms. He has to drink taels of alcohol every morning."

"Tsk tsk." Chen Yong sighed, feeling a little envious.

"The patient drank half a catty of wine at noon today, which was just gargling his mouth, as the patient's family members said. He had no history of viral infection before, but he started talking nonsense while drunk. Combined with the bulging abdomen, it was considered to be related to overeating.

Combined with the alcohol consumption, the preliminary diagnosis was pancreatitis.”

"Hey, how can you diagnose pancreatitis without any relevant auxiliary examinations?" Chen Yong frowned, not understanding "Xiao Meng's" thinking at all.

"It's not my diagnosis, but there are 23 similar cases in the medical records. Among them, 11 patients were hospitalized in the Department of Neurology and developed fulminant pancreatitis and severe abdominal pain. There are 12 other cases with similar symptoms to the patient, and 7 of them died.

This is the result of the autopsy. Those without autopsy were not recorded.”

"Autopsy?" Chen Yan came over, twirling his beard, and asked in a deep voice.

"Well, all the autopsy data related to diseases across the country are also in the medical record database." "Xiao Meng" replied.

This works too!
Chen Yan's resolute mind had begun to waver.

"Xiao Meng" has in his mind not only the century-old medical record database of Peking Union Medical College, but also the autopsy data.

Professor Xiao Luo is really awesome. He can get this kind of information, but it really has little to do with medical care.

"I didn't ask you to brag." Chen Yong said.

"Brother Yong, I'm not bragging. The most likely condition for the patient is pancreatic encephalopathy. This is the conclusion I came to after running the data for 10 minutes." "Xiao Meng" answered honestly.

"Any more details?"

"I'm not a teacher and I don't teach students. I just give a diagnosis. Of course, the subsequent treatment will also be provided."

Damn it! Chen Yong cursed in his heart.

What Luo Hao made is so much like Luo Hao that I can be choked by just one sentence.

What kind of style is this? This is what Luo Hao said shamelessly about Dr. Luo of Union Medical College.

Chen Yan thought about it and decided that although it made sense, the relevance was not great. The best way to treat the patient was to keep him in the hospital for observation.

Going back like this is indeed very risky.

He turned and left, ignoring the endless chatter between Chen Yong and "Xiao Meng", and went to find Luo Hao.

From a distance, Luo Hao was seen standing next to the flower bed. A faint green color had appeared, a little hazy, but full of vitality.

"Yes, yes, I'll send you the patient's information."

"Yes, if it breaks out, coupled with the patient's pancreatic encephalopathy, it may delay treatment. Some patients have died because of this, so please excuse me, Director Feng."

"Okay, I'll wait for your news."

Luo Hao hung up the phone.

"Xiao Luo, what do you want to do with Director Feng?" Chen Yan asked Luo Hao.

"That person works for a heating company. Since the gas supply has been cut off, they are not busy anymore. We went there to have a bite to eat and drink at noon to celebrate the perfect end of last year's heating supply period."

"and then?"

Chen Yan already had a guess, but Professor Xiao Luo was being too nosy. He had to be very sure before he could go directly to Feng Zixuan.

"We need to find their unit leaders and have them put pressure on them to at least have the patients hospitalized for observation in a nearby hospital. If they have abdominal pain, or if they can't feel it because of pancreatic encephalopathy, the doctor will do a physical examination to find out.

Then we can check the blood and urine amylase to make a diagnosis."

Chen Yan didn't know what to say.

Professor Xiao Luo’s recent departure, especially the appearance of “Xiao Meng”, and Professor Xiao Luo’s trust in AI diagnosis made Chen Yan a little confused.

Can AI really treat illnesses?!
If it weren't for Luo Hao, Chen Yan wouldn't believe it from the bottom of his heart.

There are two patients here who can be seen.

Chen Yan's fingers, which were twisting his beard, paused for a moment, and the corners of his mouth curled up into a smile that seemed like a half-smile.

"Xiao Luo, you are really full of confidence." His voice was neither high nor low, and the ending tone was subtly raised, like the tip of a surgical knife gently sliding across sterile wrapping paper - it would not cut it, but could be heard clearly.

The air suddenly stagnated.

The sound of a medical record folder snapping shut came from the nurses' station, as if punctuating the sentence.

"Director Chen, look at what you said. This is the diagnosis given by Xiao Meng. I will definitely believe it." Luo Hao pushed the responsibility to Xiao Meng.

To be honest, the emergence of "Xiao Meng" has provided a pretty good excuse for AI-assisted diagnosis.

Since the results are consistent and not much different from Luo Hao's self-judgment, it would be strange that Luo Hao has no confidence.

"Director Chen, wait a minute." Luo Hao smiled, "As long as the patient is fine, it's fine."

"you."

"The doctor was like this. Xiao Miao felt something was wrong. The patient had no history of viral infection and it didn't look like viral encephalitis, so he called me to ask for my opinion and requested support from 'Xiao Meng'."

"..."

Everyone in Professor Xiao Luo's medical team is weirder than the other.

A graduate student was accepted, but before the truth was revealed, it was decided that Luo Hao would be his supervisor, but Luo Hao kicked him to the emergency department.

If it were someone else, they would have been complaining a lot.

But the young man named Miao Youfang enjoyed it.

Chen Yan smiled and twirled his beard, "Sure, I've already put in the order for the surgery on my end. Xiao Luo, are you coming with me?"

"Pathology needs immunohistochemistry to find out the source," Luo Hao suggested.

"Yes." Chen Yan said, "All cryopreservation is available during the operation. The specific details depend on the operation."

"I won't follow the operation. I'll just stand below and watch." Luo Hao refused. "The operation is not difficult. Director Chen, you don't even need to do it. It's just a benign tumor between the liver and spleen. We are here to find out where it came from."

Indeed, Luo Hao’s description is correct, this is good news.

Chen Yan knew that if this patient was in a lower-level hospital, or a tertiary hospital at the municipal level, the cancer could basically be cured by simply cutting it off.

When the pathology results come out, the doctor doesn’t care what kind of tumor it is, it is enough to just determine whether it is benign or malignant.

The condition was benign, and the patient and his family were discharged from the hospital happily.

It doesn't matter whether it is a lipoma, a stromal tumor, or a uterine leiomyoma.

"Okay, I'll call you when the surgery is underway, and you can go take a look if you have time."

……

……

"Leader, who is it?" The young clerk in the office raised his head from the pile of documents, holding half a piece of dry bread in his hand.

The leader of the heating company frowned and threw his cell phone on the table. The stainless steel thermos cup shook, and the red words "Advanced Individual in Safety Production" on the cup lid were particularly eye-catching in the sun.

"Director Feng from the First Hospital of Medical University." He loosened his tie. "He said our Xiao Yang has pancreatitis, and it's an atypical type."

"Ah?" The young man dropped the bread crumbs in his hand onto the duty roster. "Why did the call come to you? Is there something wrong?"

"How the hell should I know!" Director Zhang slapped the heating repair report, causing the "Heat for the People" banner on the wall to shake three times.

He stared at the scanned copy of Xiao Yang's sick note on the computer screen. Next to the doctor's flamboyant signature on the diagnosis certificate was a bright red stamp of "Emergency Department of the First Hospital of Medical University".

"Hospitals are so unreliable nowadays. Xiao Yang is the same. He can't walk when he sees a woman." He squeezed out a sentence from between his teeth. "What Director Feng said is right. He is like a sick person."

Outside the window there was a hissing sound of pressure being released from the heating pipes.

The leaders of the heating company put everything else behind them and focused on the sex scandal.

He gossiped enthusiastically.

"He looks serious, so he should drink more. There's a jealous tigress at home, so he doesn't dare to do anything stupid. But this time, he's drunk and he's trying to flirt with his wife in front of her." The leader of the heating company laughed.

"Yes, Brother Yang is usually very cautious, and he doesn't have any bad habits except drinking. But then again, Brother Yang does drink a little too much."

"Well, go to the union and ask them to send two people to keep an eye on Xiao Yang."

"Ah?" The subordinate was stunned. Just now the leader was denouncing the First Hospital of Medical University for being unreliable, so why did he have to follow suit next?

"You don't understand," said the head of the heating company. "The level of the First Hospital of Medical University is just so-so. Many things are unreliable, but we have to take the responsibility. If they don't want to take responsibility, we won't get involved."

"Besides, Director Feng rarely calls me. Usually I have to ask him for help. Now it's the first time he calls me, so I have to give him this face." said the leader of Heat Power.

"Yes, I'll go to the union right now," said the subordinate.

"Wait a minute." The leader of the heating company thought for a moment, "Whether Xiao Yang and his wife are happy or not, let him go to a nearby hospital for observation for 5 days. I will approve his leave."

"What if he doesn't?"

"Don't want to do it? The maintenance work in November, December and January next year will be handed over to him." The leader of the heating company said disdainfully.

While his subordinate was out, the leader of the heating company still couldn't understand why Feng Zixuan from the First Hospital of Medical University called his cell phone.

Although Director Feng Zixuan and I are both directors, in terms of benefits, I have the right to purchase standard coal, which makes me much better off than him.

But in terms of social relations, they are countless times stronger than me.

Each has it's own benefits.

Usually, he would ask Feng Zixuan to do things for him, see a doctor, or find experts in the Imperial Capital or the Magic City.

But the first time Feng Zixuan came to see me was for official business, and it was a bit nosy, which was really strange.

Is it possible that Xiao Yang is really going to die?
No, after thinking about it, the leader of the heating company felt that his previous arrangement was a bit inadequate and he should be more cautious.

If Feng Zixuan's judgment was correct, he could save a life and avoid some trouble.

If he is wrong, the more I do on his side, the more favors he will owe me.

Just do it!

The leader of the heating company stood up and prepared to take the union members to find Xiao Yang personally.

……

……

Two days later.

Chen Yan was in the Pathology Department. He talked with Director Chi of the Pathology Department for a long time and then left with his hands behind his back.

It was a rare moment for him not to twirl his beard, or to twist it strand by strand. Instead, he stood with his hands behind his back, looking full of doubts.

Director Chi meant that the tumor that was removed was indeed a leiomyoma, which originated from the uterus.

He also showed off the relevant pathology he had recorded to Director Chen Yan.

Although it wasn’t much, only 23 slices, it was shocking enough for Chen Yan.

It is said that Yang Jinghe's lover had a uterine fibroid that grew into her heart, with veins still attached, and a kite string pulling up her uterus.

But this has nothing to do with the uterus, and the patient does not have endometriosis.

How was the diagnosis made? Chen Yan decided to go find Luo Hao.

He checked the time and took out his cell phone to make a call.

The phone rang several times before it was picked up.

"Hello, Director Chen, I'm in the dispute office."

"Well, wait a moment and I'll come find you."

Luo Hao's voice was very low, and there were other voices on the other side. Chen Yan's heart moved, could it be that there was something wrong with the employees of the heating company?

He hurried to the Dispute Office of the Medical Department.

It's not that I'm gloating, I just want to see what kind of expression Professor Xiao Luo would have when he encounters trouble, and how he would solve it.

Although Professor Xiao Luo called Feng Zixuan to file a report that day, Chen Yan felt a little excited to see Luo Hao encountering a headache.

Things like preparing for a rainy day and being good at war do not always lead to great achievements. Such things only exist in stories.

In reality, what didn’t happen didn’t happen, otherwise we would be required to be problem-oriented.

Chen Yan thought that it was a good thing to encounter some troubles occasionally. Professor Xiao Luo had been so successful that he was a little eccentric in his actions.

What the hell is going on? He diagnosed pancreatitis with pancreatic encephalopathy. Isn't that nonsense?

Now, if you come to complain, you will not get any good results. Even if you produce the audio or video of the time, as long as the patient and his family are willing to make a fuss, you will get some benefits.

I wonder how chaotic the dispute resolution office will be, Chen Yan thought to himself.

But when he arrived at the door of the dispute office, he did not hear hysterical cursing from inside, but continuous laughter.

Uh, what's going on?

Chen Yan was stunned and stood at the door looking inside.

Several strangers, Feng Zixuan, Director Tang from the Dispute Resolution Office, and Professor Xiao Luo sat around the table.

"Thank you so much. His home is close to the Second Hospital, so he was rushed there for hospitalization. We are here to express our gratitude. The experts at the Second Hospital said that this type of patient is particularly prone to misdiagnosis. Usually... usually..."

"There are signs of pancreatitis first, and pancreatic encephalopathy appears about 5 days later." Luo Hao smiled and continued.

The person opposite is not a doctor, so it is very impressive that he can repeat so much, and it shows that he is putting in effort.

"Yes, yes, that's what the expert from the Second Hospital said. He said that Xiao Yang is very close to death. Patients like this who first have brain problems and then develop signs of pancreatitis a few days later are very dangerous and are likely to die inexplicably."

"It's fine now." Luo Hao said, "As long as he is hospitalized for treatment, there shouldn't be any problems."

Chen Yan heard it clearly and was stunned for a moment.

This is?

Diagnosed?!

Was the diagnosis made by the robot created by Luo Hao correct?
All he could see in front of him was the appearance of "Xiao Meng" and the voice of "Xiao Meng" repeating the medical records of the Union Medical College.

Is AI diagnosis really accurate?

Chen Yan was a little confused.

There was laughter and conversation inside. Feng Zixuan saw Chen Yan coming and waved him in.

The leaders of the heating company also wanted to take the opportunity to express their gratitude and show off their reputation.

After all, when Feng Zixuan called, they were very dissatisfied with the matter. But the facts proved that he was right.

Feng Zixuan, from the First Hospital of Medical University, deserves the title of a doctor with a benevolent heart.

"Director Feng, Xiao Yang's family said that they need to stay with him over there, and he is still in the acute stage and cannot come over. Let me thank the doctors of the First Hospital on their behalf." The leader of the heating company said politely.

"Oh, we are all family, why should we be polite?" Feng Zixuan said straightforwardly, "But you care about your subordinates and do things yourself, awesome!"

Feng Zixuan said this, giving a thumbs up and praising.

"Didn't you, Director Feng, remind me?" said the leader of the heating company with a smile.

Everyone is having a great time now, which is a thousand times better than if Xiao Yang died at home and everyone sat here with frowns on their faces, discussing how to deal with the situation.

"No way. You care about your subordinates so much that you not only sent two comrades from the union to take care of him, but you also went to the patient's home in person to give instructions. If you, as a leader, hadn't come forward in person, the patient's family might not have believed or listened."

Feng Zixuan had many ways to provide emotional value to people. He kept talking at this time, and every sentence he said was providing emotional value. The two sides praised each other's business, which brought the atmosphere to a climax.

Ten minutes later, the leader of the heating company stood up and said goodbye.

Everyone was smiling, as if it was a family gathering.

Although the patient is still hospitalized, both the heating company and the First Hospital of Medical University have benefited from this incident.

For the rest, timely medical treatment is needed. This is the limit. There is no room for more.

After seeing off the leader of the heating company, Feng Zixuan turned around and asked, "Director Chen, what do you want to talk to me about?"

"I'm looking for Professor Xiao Luo." Chen Yan said truthfully, "I met a patient with a tumor near the liver and spleen a few days ago. The pathology confirmed that it was a uterine fibroid."

If this didn't involve Luo Hao, Feng Zixuan would definitely slap him.

Uterine fibroids near the liver and spleen? Is your brain okay?

But since it was Luo Hao who diagnosed it, then it must be like this. Feng Zixuan turned his head to look at Luo Hao.

"That's what Xiao Meng said. There are relevant medical records in my Union Hospital's medical records, so Xiao Meng gave the diagnosis." Luo Hao said.

Xiao Meng, Xiao Meng.

Feng Zixuan muttered the name and pondered for a moment, "Okay, Director Chen, you go ahead and get busy."

Chen Yan was also a little confused. He needed time to sort out the diagnosis of pancreatic encephalopathy, as the amylase levels in his blood and urine were not high. He left in a trance.

"Xiao Luo, come to my office." Feng Zixuan said.

Luo Hao followed Feng Zixuan into the office, and Feng Zixuan boiled water and made tea.

"Xiao Luo, the Xiao Meng you mentioned is the robot made using Lao Meng as a model? Did it make this diagnosis?"

"Yes." Luo Hao replied, "It's still in the testing phase. From what I can see now, the feedback data is relatively ideal."

"Is that so? What can we do now?" Feng Zixuan asked.

"Writing the medical record is almost done, and the next step is diagnosis. ChatGPT came out a few years ago. Director Feng, you must have some impression of it." Luo Hao started gossiping.

"I have the impression that chatGPT can assist in diagnosis, but I don't quite believe it."

"Yes, but the accuracy of ChatGPT's diagnosis depends on the background database. It just so happens that my family's Union Medical College Centennial Medical Record Database has a lot of medical records. In the past six months, I have also collected some medical records from other senior brothers and sisters to enrich the database."

"So, this is how Xiao Meng came to this diagnosis?" Feng Zixuan asked.

"Yes, I also need to think about some of the diagnoses. The new brain is more useful. Xiao Meng's diagnosis is very fast and not mixed with other thoughts." Luo Hao smiled and replied.

Feng Zixuan did know about Chatgpt, but he scoffed at it at the time, thinking it was just a hype about concepts and stock prices.

Clinical medical treatment is not that simple. The medical history given by the patient is messy. They think some unimportant content is very important, while they completely forget some important content.

Just point at the patient and input relevant content, and AI can give a diagnosis?

This is just to fool laymen, Feng Zixuan thought.

Unexpectedly, Luo Hao used the medical records accumulated over a hundred years in the Union Medical College medical records database to create an AI-assisted diagnosis system and used it in clinical practice.

Although it was only the beginning and Xiao Luo's words were rather reserved, Feng Zixuan realized the importance of this issue.

"Xiao Luo, when can we provide a few machines to the hospital?"

(End of this chapter)