White armor

Chapter 743 It's annoying when others don't understand your boasting.

The patient was very difficult to treat, so we sent him to the provincial capital...

These words gave Fang Xiao a strange feeling—"Xiao Meng" had developed her own consciousness and was becoming more and more like a Chinese-style doctor.

Fang Xiao even felt that "Xiao Meng" not only considered the patient's condition, but also the medical insurance payment, the patient's family's emotional changes, and various risks. More than that, he was seriously shirking responsibility.

This is already better than the vast majority of doctors, and it has only been working on its own side for less than half a year.

Fang Xiao felt a pang of emotion.

When did I learn to push patients around? It seems like it took me three or four years of practice to finally have the nerve to say that the hospital couldn't cure the disease, and that only Beijing or Shanghai could. If I couldn't go to Beijing or Shanghai, I'd at least go to the provincial capital.

It's not uncommon for people to claim they can do something.

But it takes some skill to tell unfamiliar patients or their families that you can't do it.

“Director, the patient’s financial situation does not allow it, which is indeed a difficult point.” Xiao Meng continued to analyze considerately, “If it is not possible to transfer to the provincial capital, I suggest that Professor Luo be consulted.”

Hey!
Fang Xiao was completely speechless.

He even suspected that "Xiao Meng" had developed self-awareness and was digging a huge pit to bury him and Professor Luo.

Calling in experts from higher-level hospitals for consultation is a trump card, a last resort; it's not something you can just call in experts for every trivial matter.

If it were me, I definitely wouldn't be happy in the situation "Xiao Meng" described either. As for that hospital, I won't go back; I'll just block the local hospital director.

But "Little Meng" actually blurted out Professor Luo's words so sweetly.

Fang Xiao did not agree; he was still thinking about it carefully.

"Xiao Meng" lacks emotional intelligence, and I can't be without it.

The matter was put on hold, and the patient underwent routine examinations after being admitted to the hospital.

Just as "Xiao Meng" said, the abdominal CT scan showed periappendiceal inflammation.

血常规：WBC：17.52×10·9/L;中性粒细胞百分比：76.1%；CRP：156.00mg/L。

Moreover, there was pus around the hernia patch.

After watching the video footage for a while, Fang Xiao's mind went blank; this illness was rather complicated.

"Xiao Meng" is right, that's exactly it. The patient not only has appendicitis, but also a periappendiceal abscess, and the area around the hernia mesh is also full of pus.

If only the appendix is ​​removed, what about the hernia patch?
With such a large infected area, who can guarantee there won't be any problems after the surgery?

Don't even think about how to solve the problem, let alone that there won't be any problems after the surgery.

When he first started working, he often encountered patients with fat liquefaction, who had a thick layer of fat on their abdomen. Back then, it was called "drilling a well." After the surgery, he often had to remove the sutures intermittently and use gauze to draw out the liquefied fat.

This is still an infection outside the abdominal cavity. If it were inside the abdominal cavity... it would involve a surgery performed 30 days ago, making it even more complicated.

Fang Xiao was a little flustered.

"Director, how about we have Professor Luo come for a consultation?" "Xiao Meng" suggested again after the auxiliary examinations were almost complete.

"Uh~~~" Fang Xiao hesitated for a moment and rejected "Xiao Meng's" suggestion.

Let's have a hospital-wide consultation first.

It was only during the hospital-wide consultation that Fang Xiao discovered that no department could come to see her; she could only ask the pharmacy and infectious disease departments to give her a rough explanation.

If it has no nutritional value at all.

After several hours of effort, the antibiotics were administered, but there was still no clue as to the problem.

Fang Xiao hesitated for a long time, preparing to open it herself, but then felt that she couldn't close it after opening it, and she didn't know whether she should explore and clean the hernia patch.

This is really troublesome. Fang Xiao looked up at "Xiao Meng".

"Xiao Meng" didn't speak, but its expression, if it did, suggested that it should consult Professor Luo.

Fang Xiao thought about it for a long time and asked around in her medical circle, but no one could give her a definite answer.

Fang Xiao thought, "Let's wait and see. Maybe there's something wrong with the antibiotics at the county hospital."

Although he knew he was just burying his head in the sand, there was still a certain probability of it happening.

However, as expected, an unexpected event still occurred.

The patient's temperature did drop after the IV infusion, but it quickly returned to a high fever. The patient's family members were also somewhat numb, at a loss, and increasingly panicked.

But instead of blaming Fang Xiao, they quietly began preparing for his funeral.

If the patient's family had made a scene, Fang Xiao wouldn't have hesitated. But they remained silent and sadly prepared for the funeral, which Fang Xiao found hard to accept.

"Xiao Meng" seemed to sense Fang Xiao's predicament, but did not offer any further advice.

Fang Xiao also knew that once she refused an AI, it wouldn't make any more suggestions. AI's programming was different from humans; it wouldn't persist, be stubborn, or inflexible.

Finally, having no other choice, Fang Xiao sighed and dialed Luo Hao's number.

Upon hearing Luo Hao's voice, Fang Xiao felt a great sense of relief.

The scene before me seemed bright, and the gloomy clouds had vanished.

"Professor Luo, this is roughly the situation. You can see the video footage, right?"

"Yes, I'm watching it now." Luo Hao's voice was drawn out, indicating that he was somewhat distracted while watching the film.

Fang Xiao stopped talking.

"Let's proceed with the surgery. You should talk to the patient's family about it," Luo Hao quickly suggested. "After the surgery, a drainage tube will be placed, which is different from a regular appendectomy. This patient will need about two weeks to recover."

"!!!"

Fang Xiao didn't seriously consider where Luo Hao was supposed to implement traffic generation. He simply accepted whatever Professor Luo said, leaving no room for his own opinion.

Fang Xiao was fully aware of this and strictly adhered to the rules, avoiding crossing the line whenever possible.

Although Fang Xiao didn't ask, Luo Hao still gave an explanation, since Fang Xiao was responsible for communicating with the patient's family before the operation.

Dick dick~
There was static coming from the phone.

"Director Fang, please wait a moment," Luo Hao said immediately. "I'll take this call and call you back in a bit."

Fang Xiao hung up the phone and looked at "Xiao Meng".

"Xiao Meng, Professor Luo has provided a solution. What do you think of the surgery?"

"Director, the difficulty of the surgery is hard to say. I suggest we have a remote surgery and have Professor Luo or Director Chen Yan from the First Affiliated Hospital of China Medical University perform it."

"Oh, is that so?" Fang Xiao had no competitive spirit whatsoever; anyone could do it, as long as the problem was solved.

only……

Asking Professor Luo to perform surgery requires a remote surgery fee, which must be paid out of pocket. The patient's family is in a tight financial situation, and Fang Xiao knew that this matter would take a long time to explain.

Moreover, the patient's family may disagree.

Sometimes money is more important than life, or his family simply can't afford such a sum of money.

Just thinking about it makes me scratch my head. Doctors aren't omnipotent, Fang Xiao sighed.

"Director, are you worried about the surgery fees?" "Xiao Meng" asked.

Fang Xiao was taken aback. How did "Xiao Meng" guess that?

AI robots have become so intelligent that they can even predict their own predictions; it's ridiculous.

"Regarding the cost of remote surgery, Professor Luo originally intended to charge a fee, because if he didn't charge, he would have to perform many unnecessary surgeries." "Xiao Meng" observed the situation and continued.

"He can't handle it all by himself; he also has many surgeries to perform at the First Affiliated Hospital of China Medical University."

"Xiao Meng" explained casually.

At this moment, "Xiao Meng" seemed to have become Luo Hao's mouth substitute.

Fang Xiao smiled. Everyone knew what was going on with this little thing, and Professor Luo wasn't short of money.

Fang Xiao didn't dare to ask how much a set of remote surgery equipment would cost; it must be an astronomical price that would leave him speechless.

As the saying goes, a man is a boy until he dies.

Fang Xiao's phone rang.

"Director Fang, I have an emergency surgery here, which may take some time."

Fang Xiao scratched his head, genuinely fearing that the patient's condition might suddenly deteriorate.

But we can't force Professor Luo to do anything.

First of all, they have no obligation to do so. Performing remote surgery is a favor, a way to treat and save lives. If it's just bad luck, then it's nothing special.

Secondly, Professor Luo said that if the patient's family is in financial difficulty, he will not charge them.

There's no way you'd say something like this, having to wait your turn. Most importantly, Professor Luo knows what's going on; he's probably in an emergency room over there too.

"Let's wait until tomorrow," Fang Xiao said, already preparing to reassure the patient's family, making grand promises to postpone the surgery until tomorrow.

“It might take me a few hours to get here. Director Chen has a difficult patient,” Luo Hao said. “I’ll contact someone else for you. Wait for my call.”

After saying that, Luo Hao hung up the phone.

Contact someone else?!

Fang Xiao paused for a moment, then touched her nose and smiled wryly.

Professor Luo is really busy. Fang Xiao didn't think Luo Hao was "deserting himself at the last minute," but just sighed that he seemed to have countless tasks on his side. If it were her, she would have collapsed long ago.

He didn't even have time to explain himself much before he was already incredibly busy.

Fang Xiao held the phone and thought for a moment. Since Professor Luo said he was going to go on stage with Director Chen, could it be that he was looking for the professor in charge of the group at the First Affiliated Hospital of Medical University?

This is a bit upsetting.

Fang Xiao believed in the technical expertise of the First Affiliated Hospital of China Medical University, but not in their character.

Compared to experts in Beijing and Shanghai, the atmosphere in the provincial capital is particularly bad. They are arrogant, short-tempered, and prone to throwing equipment when things don't go their way. These are all problems with experts in the provincial capital.

That's not all; if the technology were truly off the charts, then there would be nothing more to say.

The technical level of various disciplines in the provincial capital is only slightly above average. It is certainly better than that of other places, but that's about it.

The thought of an unknown expert contacting him soon made Fang Xiao feel somewhat frustrated.

I have to take good care of him, otherwise, since he's close to Professor Luo, if something goes wrong during the surgery and he blames it on me, it will leave a bad impression on Professor Luo, and that would be a disaster.

Cheer up, Fang Xiao prepared to personally explain the situation to the patient's family.

As for the consultation fee, let's leave that aside for now; there's always a solution. Let's get the surgery done first.

Fang Xiao has an exceptionally strong clinical communication skills. After all, he is quite talented and has been working in the clinic for many years without ever making a mistake. He is a seasoned veteran.

Now, with the added advantage of being the chief physician, a simple communication is nothing. After giving the instructions, Fang Xiao had the patient's family sign and affix their fingerprints.

The phone rang again; it was an unfamiliar number. But... the number was from the capital city, not the provincial capital.

Fang Xiao was a little confused, but subconsciously answered the phone.

"Hello," Fang Xiao greeted politely.

"Is it Director Fang Xiaofang from Changnan People's Hospital?" a young voice came from inside.

Fang Xiao almost cried. She thought Professor Luo was going to find her a reliable expert from the provincial capital, but it seemed that Professor Luo had found a doctoral student to perform the surgery.

Could this be any more unreliable?

"Yes, that's me. And who are you?" Fang Xiao asked, forcing herself to speak.

"Hello Director Fang, I am a doctoral student of Director Qian from Peking Union Medical College Hospital. My doctor is on the operating table and will be off in less than 20 minutes. All the data for your remote surgery has been compiled. Please prepare accordingly."

The person on the other end explained the situation politely.

"!!!"

Fang Xiao was stunned.

Peking Union Medical College Hospital, Director Qian!

The biggest expert in clinical practice right now, who is in his prime!

Realizing he had misunderstood Professor Luo, Fang Xiao grinned, suppressing his inner excitement, and thanked him repeatedly, "Hello, hello, is there anything else I need to prepare?"

"Explain to the patient's family that a drainage tube needs to be left in place, and that the hernia patch cannot be removed; drainage must be left in place."

"Okay, how long do you think it will take to recover? Just about that, so I can explain to the patient's family."

Just as the patient's family members finished pressing their fingerprints, a robotic panda walked over, its head all red.

When the robotic panda walks over, it looks up and places its head under the patient's family member's hand.

I easily wiped the red ink off the robot panda's head.

The patient's family member had just finished wiping away the ink when they heard Fang Xiao's words. He didn't think much of it and got up to leave.

"Wait a moment," Fang Xiao called out to the patient's family member.

The patient's family member pointed to their nose, and Fang Xiao nodded.

"Alright, is there anything else you need to tell me?"

"Director Fang, don't be so polite. Just call me Xiao Liu. I wouldn't dare to give you any instructions."

"Teacher Liu, is there anything else you need me to do?" Fang Xiao asked politely, almost to the point of being servile.

After finishing her conversation with the other person, Fang Xiaohong was beaming and called out to the patient's family.

"You guys are really lucky," Fang Xiao said truthfully.

"Huh?" The patient's family member was stunned.

"We're going to have a remote surgery soon. The surgeon is one of the top doctors in the country, Director Qian from Peking Union Medical College Hospital."

Fang Xiao spoke excitedly for a few minutes, but his excitement quickly faded, essentially as if he were talking to a deaf person.

The patient's family looked bewildered.

"Director Fang, your skills are very high..." the patient's family member said awkwardly at the end.

Ugh.

Fang Xiao sighed. He guessed that when patients and their families heard the name "Peking Union Medical College Hospital," all they could think of was the Peking Union Medical College Hospital Men's Hospital.

They had absolutely no idea what the concept of remote surgery performed by Director Qian meant.

Fang Xiao was somewhat disappointed. She had found Director Qian at Peking Union Medical College Hospital to perform the surgery, and the patient's family couldn't seem to grasp the significance of such an impressive feat.

This was incredibly disappointing, but Fang Xiao had no choice; she couldn't exactly drag the patient's family members by the ear and start talking about things from before the founding of the People's Republic of China.

Even if you try to explain, he won't understand. In his world, he is the best surgeon at Changnan People's Hospital.

They had no idea what Peking Union Medical College was.

After a brief explanation, it was decided to let the patient's family leave.

One of Fang Xiao's junior doctors came over and asked, "Director, does Peking Union Medical College Hospital offer remote surgery? How much does that cost?"

"Money?" Fang Xiao puffed out his chest and said smugly, "Does Director Qian care about that little bit of money? Let me tell you, when Director Qian was a professor leading a research group, he would occasionally do some knife-throwing. Now he doesn't even leave the capital."

"!!!"

Why not make money? This mentality is beyond the reach of most people, and Fang Xiao's junior doctors simply cannot understand it.

As for the social status of the director of Peking Union Medical College Hospital, it's more like the emperor's golden hoe to them, like the empress of the East Palace making pancakes and the empress of the West Palace rolling green onions.

"Let me put it this way, you know about Maslow's hierarchy of needs, right?" Fang Xiao finally found someone who knew how impressive this was, and quickly started bragging.

If he didn't say a few more words, Fang Xiao felt like he would explode from holding it in.

"I know."

"Director Qian is pursuing other things, and he currently holds an important position in the health care team, frequently conducting consultations, so he doesn't have the opportunity to perform surgery. The patient is really lucky; the surgery was actually performed by Director Qian."

"But how do they make money?" the junior doctor asked.

Fang Xiao glanced at her subordinate doctor and smiled helplessly, "You think... never mind, you can't even imagine it. With your limited imagination, you probably think Director Qian only earns a salary and takes some under-the-table income."

Indeed, doctors in grassroots hospitals can't possibly imagine the daily life of the top surgeons in the capital.

To leave money unearned would be considered a crazy idea by Fang Xiao's doctors.

Fang Xiao didn't waste any more time talking to him and immediately began preparing for the surgery.

Professor Luo must have made a huge fuss about this, and Fang Xiao knew perfectly well that she couldn't afford to be careless in any way.

While contacting Dr. Liu, the patient was taken to the remote operating room.

Fang Xiao took up arms and became Director Qian's assistant.

"Hello, Director Fang," came Director Qian's voice from the walkie-talkie. "Can you hear me?"

"Yes, yes, yes, it's me, Director Qian. If there's anything I haven't done well enough, just tell me, you can even scold me, whatever's convenient for you," Fang Xiao quickly said.

"The walkie-talkie that Dr. Luo made, this thing is a return to basics, isn't it?" Director Qian didn't stand on ceremony with Fang Xiao, but laughed heartily, "Let's prepare for the surgery."

"I never expected Professor Luo to use a walkie-talkie to perform remote surgery. In my understanding, the communication range of this thing is only a few hundred meters. Once, I went out with my friends, and there were five cars, and each car was equipped with a walkie-talkie."

While preparing for the surgery, Fang Xiao continued the conversation following Director Qian's topic.

He was very clever. The person opposite him was the biggest boss in the country, and Fang Xiao had already adjusted himself to his best state.

"The distance between convoys is within 100 meters, and the sound from the walkie-talkie is very clear. 200 meters is also fine. Beyond 500 meters, there starts to be noise. The maximum distance is one kilometer."

"Professor Koro seems to have bought the walkie-talkie online."

As Fang Xiao spoke, she glanced at Xiaomi's walkie-talkie.

This brand is very common, and Lei Jun's five-word mantra is something Fang Xiao often says.

Fang Xiao never expected that Xiaomi would also produce walkie-talkies. He was in Changnan and Director Qian was in Beijing, more than 1300 kilometers away. The walkie-talkie had no delay and was as convenient as making a phone call.

"Dr. Luo always does these strange things," Director Qian laughed. "As long as it's convenient to use, nothing else matters. I know the patient's condition. We'll remove the appendix first. Director Fang, you just need to cooperate with me."

Simple cooperation, that's putting it nicely.

What Director Qian actually meant was—I'll be careful during the surgery, so don't have your own ideas, which ultimately led to the surgery failing.

Fang Xiao can understand human speech.

The surgery began, and Fang Xiaoxian made a hole in the patient's navel as instructed by Director Qian.

Single-port laparoscopy is common, and although the situation inside is complex, Director Qian still chose single-port laparoscopy.

"Director Fang, I heard from Dr. Luo that this patient was advised by an AI robot to have surgery performed by a specialist?"

While performing the surgery, Director Qian asked questions.

"Yes, after the AI ​​robot reviewed the relevant information, it suggested that I call Professor Luo. At the time, I hesitated a bit, after all, it was just an appendectomy, and it wasn't worth asking Professor Luo for help."

"Oh, I see. They have a strong ability to analyze themselves," Director Qian said softly.

Although the voice was soft, Director Qian's voice came through the Xiaomi walkie-talkie clearly.

The sound fidelity was very high; Fang Xiao could even see Director Qian's expression.

"I'm becoming increasingly reliant on AI robots these days," Fang Xiao said with a smile. "Director Qian, do you use them too?"

"We've started using it, helping Dr. Luo find any problems. But from what I've seen, there aren't any major issues; AI robots have a natural advantage over humans."

"Oh? For example?"

Fang Xiao and Director Qian exchanged their experiences using AI robots.

In terms of surgical skills, Fang Xiao and Director Qian are worlds apart. But when it comes to the use of AI robots, Fang Xiao becomes wide awake; he was among the first to use AI robots.

Fang Xiao has his own insights into AI robots.

The surgery was performed very quickly. After the appendix was removed, Director Qian began to examine the surrounding tissues.

The area around the hernia patch was covered in pus. Fang Xiao realized that her initial thought was wrong. Seeing is believing, and it was impossible to remove the patch surgically based on this appearance.

At this stage of the surgery, Director Qian's actions were beyond Fang Xiao's comprehension. Watching Director Qian drift away step by step, Fang Xiao didn't even know what Director Qian was doing.

Finally, Director Qian left a drainage tube in a very deep position before announcing the end of the surgery.

"It should be able to be removed 10-15 days after the surgery. Check on my condition every day and I will analyze it."

"Thank you, Director Qian."

"Oh, you're too kind. You don't see this kind of situation often. It's considered that the patient is unlucky to encounter two rare diseases together. But I see it more often here, so I have more experience than you do."

Director Qian was being polite, but Fang Xiao didn't take it seriously.

Could it be that I have to talk to Director Qian myself...? Fang Xiao didn't even dare to think about it. If that were the case, how insensible of me would I be?

"Sister Li, why is your voice hoarse?"

During the surgical explanation, the scrub nurse and circulating nurse were counting, and after they finished counting, the scrub nurse asked a question.

"Yesterday my son insisted on eating cantaloupe, but after I bought it he said it wasn't sweet. I couldn't just throw it away, so I ate it all. The cantaloupe was so sweet it hurt my throat. This kid really deserves a beating," the circulating nurse scolded in a hoarse voice.

Fang Xiao suddenly noticed that "Xiao Meng," who had been standing next to her, seemed to make a seemingly unintentional movement.

(End of this chapter)