"There's nothing particularly abnormal, it's just that Zhang Luo has difficulty breathing, and it's getting heavier and heavier, and he can't sleep well at night, and he will be awakened when he falls asleep. I took her to see her twice, and the doctor said that there was no problem with her lungs and trachea. Liu Xiaomei's father is quite calm, he said.

"Anything else. ”

"......" Liu Xiaomei's mother anxiously pulled the corner of Wu Mian's clothes, tears were already overflowing in her eyes, "Doctor, Xiaomei is okay, how is she?"

Wu Mian also knew that it was a hellish thing to come out during this time period to ask about the patient's family, so what scruples about inducing questions were not in his consideration at all.

"Let's put it this way, has Sun Xiaomei lost a lot of weight recently?" Wu Mian asked directly.

"How do you know? she's been ...... lately? It's very thin. Sun Xiaomei's mother said, "In less than 2 months, I lost 20 pounds." I heard Xiaomei say that it's good to be sick, at least you don't have to worry about losing weight. ”

"What about temper?"

"Xiaomei's temper has always been very good, and nothing has changed. ”

Wu Mian nodded and said, "Okay, then I'll go back first." Wait a while, the operation will be over in about 3 hours. ”

After speaking, he entered the operating room without looking back, leaving the patient's family members with a confused face.

When I entered the operating room, I met Matthew, who had just changed his clothes and came in.

"Teacher Wu, do you think it's emaciation caused by hyperthyroidism?" Fang Jinshui asked.

"Hmm. Wu Mian said, "Otherwise, there is no way to explain the sudden weight loss and the increase in the rate of surgery." ”

"But is thyroid storm more common in untreated or inadequately treated patients with hyperthyroidism? It is often triggered by stress, such as infection, trauma, surgery, diabetic ketoacidosis, and childbirth. Fang Jinshui asked.

"That's just one aspect. Wu Mian replied, "Under stress conditions, a large amount of thyroxine in the body of hyperthyroidism patients is released into the blood, causing an increase in heart rate and metabolism. So thyroid storm is characterized by tachycardia, hyperthermia, and marked changes in consciousness...... The patient is under general anesthesia, which is not obvious. ”

"Diagnosis is to be distinguished from malignant hyperthermia, pheochromocytoma, anaphylaxis, brain injury, and neuropathic malignant syndrome. The presence of heart failure and shock is often a sign of critical illness, and the patient's condition is not allergies, but thyroid storm. ”

"......" The two directors were stunned. In the previous intraoperative consultation, it was thought that it was a diagnosis of intractable anaphylactic shock, but it was easily overturned?

"Ask, when will the results of the three tests of the first gong be available? Wu Mian said.

"Good. Director Xu immediately responded.

At this time, there is no other way, just a check, if you want to do it, you have to do it first.

Fang Jinshui frowned, "Teacher Wu, I went back to criticize the doctor in charge of the bed, how to ask about the medical history, I didn't ask about the weight loss!"

"It's normal, too. Wu Mian said, "Women around the age of 30 have passed their peak physical functions, and the vast majority of people are no longer fat, so there are various weight loss methods." It's not cancer, and it's normal to ignore this when asking for a medical history. The key is why don't you check the three items of nail skills before surgery?"

Wu Mian looked at Fang Jinshui with reproach in his eyes, slightly stern.

The two directors only sighed.

Wu Mian didn't embarrass them, and went back to the operating room directly.

"Director Xu, why are there so many regulations now?" asked in a whisper after him.

"Isn't this the recent activity of seeing a doctor without asking for help, Director Han has come up with a lot of regulations under seeing a doctor without asking for help, trying to do as little examination as possible and saving every penny for patients. Director Xu was also very helpless, and he sighed deeply.

Those who understand understand it, and those who don't understand it...... There is nothing there that does not understand.

"A few days ago, Director Han brought someone to check everyone's doctor's orders, and asked a lot about the operation at that time. Three ...... In the words of Director Han, it is an excessive medical treatment and cannot be examined before surgery. At that time, he also scolded a lot of nasty things, saying that we had increased the burden on patients. ”

Is there anything else that can't be checked? Matthew was speechless in one breath.

It has only been more than a month since he and Dean Xue left, how could they become so dilapidated.

"Some rare urgent items need to be applied for by the medical department, and the laboratory department is short of people, so the relevant personnel are transferred to other positions. Fang Jinshui continued to nag.

"Contacted?"

"I talked to the medical office, but it didn't work. ”

Matthew looked at Wu Mian's back, and he could feel Wu Mian's muscles tense, as if he was very angry. Thinking of the last incident of the patient's spontaneous spontaneous spontaneous splenic rupture, Mr. Wu pressed Han Guangyun's head and rubbed against the wall...... Matthew instantly figured out what he was going to do.

First of all, try to get the patient through the danger period, at least alive from the operating table. This is the most basic, and if there is no guarantee of this, nothing else is meaningful.

Secondly, you must appease Mr. Wu, don't go berserk.

"Director Xu, you take a look, and the result must be out as soon as possible. Matthew admonished.

The director of the Department of Anesthesiology personally coordinated this matter, and if it had been two months earlier, there would have been no problems when Director Ma was still there. The results are available in the shortest possible time, and symptomatic treatment begins on the operating table.

But now that a regulation has bound the clinician's medical instructions, the machine has rusted, and Director Xu has no bottom in his heart.

As he walked, Director Xu took out his mobile phone.

"Director Han, I would like to report something to you. Director Xu said cautiously, "We need to urgently check thyroid function, please ask the medical department for approval." ”

"Director Xu, there are specific personnel responsible for this matter, you submit an application, as long as the information is complete and there is a consultation with the relevant departments. I'm working on-site and it's busy. Director Han said.

"Director Han, the patient is considered to be a thyroid storm, and the intraoperative examination is fatal!" Director Xu held his mobile phone and said loudly.

"Aren't you a patient with rheumatic heart disease? Director Fang called me just now, how did you do it!" Han Guangyun said sharply, "Rheumatic heart disease, you think I'm a layman and don't know what rheumatic heart disease is? Rheumatic heart disease, you have to check thyroid function, do you have such a doctor!"

"......" Director Xu was speechless, do you have to say it from the beginning?

The document issued by the medical department was approved by Dean Haihua, in order to reduce the burden on the patient and provide better service......

Director Xu has long been familiar with the next words, and the spirit of every weekly meeting of the hospital has been the same word recently, and he has memorized it by heart. Director Xu complained in his heart, if the medical department did not agree, the results of the examination would not come out at all.