299 Idiot (Ask for Subscription)
"The people who came out of Mayo still have advantages, that is, they have strong psychological quality. Wu Mian's middle finger shook in front of Dr. Stephen Dudley, and said with a smile, "The average doctor has already run away in disgrace, and you insisted on seeing the operation." And then...... Waiting for me to humiliate you. By the way, are you shaking M?"
Stephen Dudley's face flushed.
"Come, tell me, what do you see?"
Stephen Dudley looked at Wu Mian angrily, and a cardiopulmonary bypass master next to him asked, "Why don't you use protamine to neutralize heparin?"
Without an honorific title, this cardiopulmonary bypass master is already quite a gentleman without scolding.
"Wenlai, are you interested in coming to me to develop in the future?" Wu Mian did not answer the question of the cardiopulmonary bypass master, but directly poached people, in front of Stephen Dudley, poaching his doctors.
"No, why am I here?" said Winlai, disdainfully, "Mayo is the center of the world, and there is even a ...... here."
Wu Mian shook his middle finger slightly, glanced back at the ECG monitoring, everything was stable, and then walked out with a smile.
Stephen Dudley stood in front of him, and Wu Mian ran straight into it as if there was no such person in his eyes.
"Bang~" The shoulders were packed together, and Stephen Dudley felt a huge force coming, and his body staggered.
"Learning surgery, you won't even let you go, how did you get into the operating room back then?" asked Wu Mian sneeringly.
"It's barbaric!" roared Stephen Dudley.
"Miscellaneous people who don't know the rules, you know nothing more than money. Wu Mian said without looking back.
"Wu!" the cardiopulmonary bypasser finally couldn't suppress the doubt in his heart, let go of the flat car that was pushing in, and asked loudly, "Why does Principal Stephen Topt have a heart problem every time he neutralizes heparin?"
"Principal Stephen Topter is allergic to protamine. Wu Mian said.
"Impossible!" the cardiopulmonary bypass master looked at Wu Mian with some anger and said, "You can't prevaricate me with a random reason! And your answer is simply stupid, you treat me as my sheepdog who can't learn to hold a flying saucer!"
"Haha~" Wu Mian was amused by the cardiopulmonary bypass master, he turned to look at the man and asked, "The ratio of the amount of immunoglobulin E secretion under normal physiological state to the number secreted under general anesthesia + cardiopulmonary bypass, do you know what it is?"
The cardiopulmonary bypass physician was stunned, and Dr. Dudley stood at the door of the operating room, also stunned.
Clinicians must have learned physiology, pathophysiology, and immunoglobulin E is a key cause of allergic constitution, as everyone in the room knows.
However, if you ask more carefully, the ratio of the amount of immunoglobulin E secretion to the number secreted under general anesthesia + cardiopulmonary bypass is ...... No one could answer.
However, this is only the beginning.
"What is the state of helper T cells2 under general anesthesia, and what is the magnitude of interleukin-4 secretion?"
There is a certain proportion of normal human helper T cell 1 (Th1) and helper T cell 2 (Th2), and the two are coordinated to keep the body's immunity balanced, and Th2 cells are often dominant in people with allergies.
Th2 cells secrete a substance called interleukin-4 (IL-4), which induces IgE synthesis and increases serum IgE levels.
These are the basics of immunology, and both cardiopulmonary bypass specialists and Dr. Dudley know them. However, as with the previous question, will there be changes in the secretion of interleukin-4 by helper T cells2 under general anesthesia?
There must have been a change, but they don't know exactly what it is.
Dr. Dudley and all members of his medical team looked confused.
"What will be the effect of general anesthesia + whole-body heparinization on the human body?"
"In this case, what is the concentration of histamine in Stephen Topt's body, and can the cardiopulmonary bypass withstand a large amount of histamine after resuscitation?"
"If you don't know anything, you dare to go to surgery?!, your Mayo doctor is this quality?!" Wu Mian said disdainfully.
Dr. Stephen Dudley was annoyed and said in a deep voice, "You know?"
"I understand a little. Wu Mian said with a smile.
"Do you know why you didn't tell Stephen Topt before the operation?" said Dudley, seizing on a flaw in Wu Mian's words.
Out of the corner of his eye, he saw Mrs. Topt not far away, and she could surely hear what he was saying.
After speaking, Stephen Dudley looked at Wu Mian proudly. This problem does not make sense, even if the operation is successful, with the British mind, there will be a kind of heart-wrenching thought.
Wu Mian's eyes narrowed, looked at Stephen Dudley who was standing not far away, slowly took off his bloodstained gloves, and asked softly, "You really don't know the reason?"
"You did it on purpose!" Stephen Dudley suddenly felt that he had taken advantage of the prostate of morality, condescending, and Wu Mian instantly became much smaller.
"You have concealed important information that has led to a deep crisis and irreversible damage to Principal Stephen Topter!"
"You're ...... for some kind of ulterior"
Dr. Dudley was talking smugly, his eyes were dark, and there was a crisp sound of "pop~" on his cheeks, but it didn't hurt much.
He was stunned for a moment, how could Wu's movements be so fast! Dr. Dudley saw Wu Mian walking towards him, but the distance of a few meters did not seem to exist, and the next second Wu took off the sterile glove and slapped it on his face.
"Bitch idiot, Bichi!" Wu Mian scolded, "I gave my plan to Principal Stephen Topter, I don't know how it was rejected in the end, but it is conceivable that you are a thief, in order to steal the operation from me, you must have found the school board and relevant experts!"
"You could have done bypass surgery with your heart beating non-stop, and all this danger is not there!, but you, Mayo's crumbs, low-level trash, like those Anglo politicians, are brazenly accusing me?!"
Every time Wu Mian said a word, the blood-stained glove in his hand was drawn on Dudley's face, and no matter how he dodged, the glove was like an elf, always hitting his cheek with a snapping sound.
"You were the one who tricked Principal Stephen Topt into making the wrong judgment! Luckily, Principal Stephen Topter chose to come to me for surgery, otherwise he would have been in the freezer of the funeral home by now!"
"You Brooklyn thug, how can you have the face to stand in front of me and accuse a senior doctor with shame!" Wu Mian The sterile gloves in his hand were whipped in Dudley's face like a whip.