562 Seeing a doctor does not ask for help
Seeing Director Xu's expression, Wu Mian's face was covered with frost. Jian eyebrows raised slightly, slanting at Director Xu. No words are worth a thousand words.
Director Xu sneered and said, "Mr. Wu, do you look at the patient first?"
Wu Mian nodded, silently calmed his face, and walked to the locker room.
"With the medicine, the patient's heart rate went down a little, but the situation was very bad. Director Xu said about the patient's condition.
"Got it. Wu Mian quickly changed his clothes, put on a hat and mask and walked into the operating room.
Before entering the operating room, I heard the alarm sound of the monitor and ventilator. Although it is not particularly urgent, the voice is sharp and makes people panic.
Wu Mian kicked open the airtight door of the operating room and walked in. (Note)
Wu ...... Teacher, you're here. Fang Jinshui saw Wu Mian coming in, and hurriedly bowed down and said.
"Hmm. Wu Mian responded, his eyes swept over the monitor, ventilator, and micropump.
The patient's heart rate was 163 beats and his condition was not good.
"What is the patient's complaint before the operation?" Wu Mian asked in a deep voice.
"Complaining of recurrent chest tightness, chest pain, shortness of breath and a heart murmur was admitted to the hospital in February. Ichisuke immediately began to report his medical history.
"You're a doctor?"
"Mr. Wu, I took in the patient. Ichisuke nodded.
"Anything else?"
"......" The treating doctor was stunned for a moment, he immediately recalled the whole process, and finally said with certainty, "Teacher Wu, no." ”
"Check one and three items, check urgently. Wu Mian said.
In Wu Mian's imagination, after he finished speaking, a nurse or anesthesiologist's assistant should immediately open the tee of the arterial catheterization and draw a few milliliters of fresh blood for testing.
But the atmosphere in the operating room was a little inexplicably awkward, and the doctor gave orders, but no one moved.
Normally, the operating room should move like a machine, the motor roars, and every effort is made for the success of the operation.
But at this moment, the atmosphere in the operating room is strange, and the machine is rusty.
"Huh?" Wu Mian's eyes narrowed.
"Teacher Wu...... Are you sure?" asked Fang Jinshui.
Sure? That's a ridiculous question, and it doesn't look like a doctor can ask it. Is there anything certain in the medical process?
Wu Mian glanced at Fang Jinshui very dissatisfied.
Fang Jinshui could feel Wu Mian's unhappiness, he sighed and said, "Teacher Wu, hasn't it been propaganda recently that you don't want to ask for medical treatment." ”
Wu Mian raised his eyebrows.
"The notice issued by the medical office has some other than a request not to bring anyone to the doctor. Minimizing inspections is one of them. Some exclusionary examinations before cardiothoracic surgery have been reduced, and if the three thyroid tests are to be examined, it is necessary to have a consultation with the relevant department. That's not all, it still needs to be approved by the medical department. ”
"Nonsense!" Wu Mian said in a deep voice.
"Mr. Wu, what are you considering?" Fang Jinshui said bluntly, "The patient is only 30 years old, and we discussed it during the operation, it may be a problem of the vagus nerve." ”
"It's not. Wu Mian said categorically, as he spoke, he glanced at Fang Jinshui, "Director Fang, collect blood and send it for testing." ”
"......," Fang Jinshui said helplessly, "Mr. Wu, the medical department has repeatedly emphasized that if there is no consultation with the relevant departments, whoever has more examinations will have to stay on duty for three months." There were already several doctors on standby, admonishing and talking to the medical office. ”
Wu Mian took a deep breath, and really wanted to kick Fang Jinshui against the wall.
But he couldn't resist having a seizure, but said, "Go and apply to the medical office, and I'll ask the patient's family and confirm the medical history." ”
Fang Jinshui immediately breathed a sigh of relief, and he hurriedly said, "Teacher Wu, I'm really sorry, I'll go to the glandology department for a consultation." ...... you consider"
"Thyroid storm. Wu Mian said.
"......" Everyone in the operating room looked at Wu Mian in surprise, how did Mr. Wu diagnose thyroid storm?
"The patient's family is outside. ”
"Yes. ”
"I'll ask. Wu Mian said, took a step forward, and saw that cardiopulmonary bypass had been established, so he said, "Let's continue the operation, it's not about anesthesia and cardiopulmonary bypass." ”
After speaking, Wu Mian turned around and left the operating room.
Fang Jinshui followed behind Wu Mian and asked, "Teacher Wu, thyroid storm...... What do you think?"
"I asked about the patient's family. Wu Mian said, "There are many details that the patient's family will not take the initiative to say. The patient had no neck mass or proptosis before surgery, and only had clinical manifestations such as weight loss and increased heart rate, which were easily masked by heart disease. ”
Fang Jinshui carefully recalled Wu Mian's words, but he didn't believe it very much.
If it weren't for Wu Mian who said this, if it weren't for the "Diagnostics" he compiled, Fang Jinshui would definitely scoff.
"Go and get in touch with the three tests of the nail work. Wu Mian said.
"Good. Director Fang and Director Xu of the Department of Anesthesiology said at the same time, and the two followed closely behind Wu Mian, not leaving one step.
The patient suddenly had an abnormality during the operation, and his heart rate reached about 180 beats per minute. Even if you have used the right medication, you can't lower your heart rate. After the postoperative consultation, the final conclusion was that the vagus nerve was dysfunctional, but it is unclear how it came about.
However, as soon as Mr. Wu came, he denied this diagnosis and said that it was a fatal thyroid storm.
As soon as possible, he had to apply to the medical department for the permission to check, and Mr. Wu was not idle to ask about the medical history. The two directors were curious, could the medical history ask what flowers?
"What's the patient's name?" Wu Mian asked.
"Liu Xiaomei. ”
After Wu Mian asked, he opened the door of the operating room, raised his voice and said, "Liu Xiaomei's family!"
"Doctor, is the operation over?"
"Why is it so fast? Didn't it take about six hours? ”
"Is something wrong?"
When the patient's family heard the greeting, they were a little surprised at first, and then they began to panic.
In various movies and TV dramas, as long as the doctor comes out, the picture of a sad face, sighing, and regretfully saying that we have done our best flashes in the minds of the patient's family.
"Doctor, what's wrong?" asked a woman in her fifties hurriedly.
"Nothing, ask a little about the situation. Wu Mian took off the sterile mask, took a breath and asked, "What is the abnormality of the patient recently?" ”
"Doctor, what's wrong with Xiaomei?" asked Liu Xiaomei's mother, her voice trembling a little.
"I'm having surgery, and I'm in good shape, so don't worry. Wu Mian said calmly and quietly, "I just want to understand the patient's preoperative situation." ”
The more Wu Mian said this, the more panicked the patient's family became. It's okay, I came out during the operation to ask about the situation, which is proper bad news.
"If there is any abnormality in the patient recently, please think about it carefully. Wu Mian asked.
......
......
Note: There is a video in the Easter egg chapter, what does it mean to kick open the door.