566 What to do with him
After 1 hour and 35 minutes, the cardiopulmonary bypass was shut down.
Arterial blood gas CO2 blood pressure drops from 55 mmHg to 45 mmHg, and blood pressure rises from 7540 mmHg to 10055 mmHg.
Although the values are not particularly ideal, they are sufficient for patients.
The patient's body temperature was monitored, and the patient's body temperature was still hovering around 39.6Β°C. At this time, Director Xu recalled the differential diagnosis mentioned by Mr. Wu Mian and Mr. Wu, and it had been determined that the patient was not a malignant high fever. But if I had to do it again, I guess I wouldn't be able to make the right judgment in a panic at all.
"Rinse, turn off. Wu Mian nodded and said, "The administration is quite timely, and there shouldn't be any problems going down." If it's okay, I'll go first, and if I don't understand, I'll call. β
After speaking, Wu Mian glanced at the doctors and nurses in the operating room.
Fang Jinshui was still a little apprehensive, and he asked, "Teacher Wu, it really doesn't matter?"
"Huh. Wu Mian smiled and patted Fang Jinshui's shoulder, "It's okay, isn't there still me here." β
After speaking, Wu Mian turned around and left, "You guys are busy, the patient is important, you don't need to send me." β
Kicking open the door of the operating room, Wu Mian suddenly stopped and said, "Han, do you have time?"
"......" Han Guangyun's heart stopped beating as if it was being clenched by a big hand. Is he provoking himself? Han Guangyun was a little scared.
"I'll discuss something with you, is it convenient for you?"
Wu Mian didn't seem to want Han Guangyun's answer, he walked out of the operation room, Ren Haitao followed behind him with the box, and walked straight to the locker room.
Ma Xiude gently touched Han Guangyun with his shoulder, and whispered, "Han, Han." β
"Uh......" Han Guangyun was about to cry.
That evil god just left, I didn't provoke him today, and after I came in, I asked why he went into the operating room if the medical office didn't approve it.
Why do you say this! Han Guangyun regretted +5, +5, +5 in his heart.
He remembered that when he was in school, the delinquent teenagers had a fight, and they were all like this, and they asked people to ...... after school Wu Mian didn't want to beat himself up in the locker room.
Han Guangyun was apprehensive in his heart, but when he saw a few eyes looking at him, they were all directors, doctors, and nurses who were usually trained by himself like the third grandson.
Can't be ashamed, Han Guangyun cheered himself up in his heart, turned around and left the operating room.
Going upstairs and going to the locker room, Wu Mian had already taken off his isolation gown and began to wear his own clothes. Eight-pack abs, a body of muscle lines clear and bright, every move of the muscle lines slightly changed, filled with almost infinite vitality.
Han Guangyun entered the locker room and was stunned when he saw such a picture.
"Wu ......" He doesn't know what to call Wu Mian, does he want to call Teacher Wu himself?
"Han, sit down. Wu Mian didn't have anger on his face, and it didn't look like a reprimand, and he said while changing his clothes.
"What are you looking for me?" asked Han Guangyun stubbornly.
"There are differences in the management of Korean offices, hospitals and other businesses. Wu Mian said, "Each patient's condition is different, although there is a high probability that diagnosis and treatment can still be carried out in accordance with the standards and processes, but when encountering special patients and special circumstances, emergency measures cannot be completely in accordance with the standards." β
Are you teaching me how to be a human being?
Han Guangyun was unconvinced. He was not convinced, but he didn't dare to refute, he just stiffened his neck, but he didn't dare to say a superfluous word.
Looking at Wu Mian, he felt that his stomach was hurting more and more. Wu Mian felt sick to his stomach when he looked at it, Han Guangyun thought in his heart.
"Do you know where the source of the random inspection is?" Wu Mian asked.
"There is no medical ethics!" replied Han Guangyun stiffly.
Ma Xiude shook his head slightly in the corner, this is really naΓ―ve, the second hospital has him as the director of the medical department, I am afraid that there will be more and more lawsuits in the future.
"Han, there are several reasons for the so-called random inspection, let me briefly talk about it for your reference. Wu Mian said very kindly, and the fierce aura that pressed Han Guangyun against the wall before was gone.
"First of all, you think that the origin of large-scale examinations is doctor-patient disputes and zero markups for drugs and consumables. But I think the main reason is that the doctor-patient dispute is reversed. β
"With each patient, the doctor was worried not about the normal, but about the rare, just like today's patients. Something happened, no matter what you think, the patient's family first thought is why did the accident happen?!"
"......" Han Guangyun was not convinced.
"The evidence is reversed, the preoperative diagnosis is missing, and the patient has a problem, what do you ask the doctor to do? Revoke the doctor's qualification?"
"But most people are not like this! They are just here to make money!!" Han Guangyun had his own thoughts in his heart, and he looked at the evil star angrily and said loudly, regardless of the possibility of Wu Mian pressing against the wall again.
"Han, you haven't been working in the hospital for long. β
"Huh?" Han Guangyun didn't expect Wu Mian to ask himself this, "I'm a graduate of the Department of Medical Management!"
"Oh, that's not knowing the actual situation. Wu Mian said lightly, "The earliest billing commission was in the nineties of the last century, when the management was not enough and chaos was rampant. Right now...... It is mainly found in private hospitals, small and medium-sized hospitals that have been acquired by private capital, such as county hospitals renamed Limin Hospital. β
"Don't you know what the situation is in the second hospital of the medical university?" Wu Mian said, with a slight ridicule in his words, "The doctor prescribed a laboratory examination, did the laboratory department give money, or did they go to the patient's medical insurance account to withdraw the money themselves?"
β......β
"The hospital has no clear rules and regulations, which are converted into salaries and bonuses, who is willing to examine patients if they have nothing to do? Doesn't the return have to be written in the record of the course of the disease? Others spend money, and you are tossed, and no one is beneficial, how can you be like a thief? As long as the hospital leaders are people, the doctors at the grassroots level are generally fine.
Performance appraisal, I know that. But what is a private hospital like, if you open a CT scan to mention 20, what about our hospital? Can you afford that few cents?"
"......" Han Guangyun put his hand on his stomach, he must not lose face in front of Wu Mian, this is his bottom line.
"Again, as long as the leaders of the hospital are human beings and do not do things that are done and established, ordinary doctors are easy to manage. Wu Mian continued, "I don't know what the situation is in the Second Hospital, but I think the root cause is here, and I hope these words can give you some reference." β
Wu Mian said as he finished changing his clothes and beckoned Ma Xiude and Ren Haitao to leave the locker room, leaving Han Guangyun to sit there alone and stunned.
"Teacher Wu, I thought you would do it. Matthew said with a sigh of relief.
"I'm very reasonable. Wu Mian smiled, "It's okay if the patient is fine, what are you doing with him." β
"Alas. Matthew glanced at the familiar department of the Second Hospital of the Medical University and sighed.