"Mr. Wu, what's going on over there?" asked Matthew.

Wu Mian hung up the phone, returned the phone to Ma Xiude, shook his head slightly and said, "Han Guangyun doesn't do any checks, is it really a stroke of luck to treat the disease?"

Ma Xiude could hear the sarcasm in Wu Mian's tone, and recalled the expressions of several directors of the Second Academy when he saw Han Guangyun during the day, and he was helpless.

"Well, how to say it. Matthew sighed deeply.

"Mayuan, no way. Wu Mian looked out the window, the night was heavy, like iron.

"Domestic ......"

"It's the same abroad. Wu Mian said, "I'm ...... Let's take an example. ”

Matthew was stunned for a moment, and it's the same abroad?

"I guess Director Han has gone abroad and learned the diagnosis and treatment process abroad. But that process...... Hey, I've been squirting flowers for a long time. As long as it's a clinician, who doesn't spray them?" Wu Mian tapped the arm of the chair with his right hand, as if playing the piano, and his fingers were beating like a fairy.

"It's the same with foreign countries. ”

"Good doctor, have you seen it in the horse hospital?"

"I've heard about it and watched it for 20 minutes. Seeing the protagonist holding the chest bottle so high, there is little interest. It's not professional at all, and foreign films are so slotted, really. ”

"The idealized modification of the TV series, dialectical watching. Wu Mian smiled, "In the second episode of the first season, a little girl has a stomachache, and her parents think that they spend a lot of money, thinking that the little girl is avoiding school, and only the protagonist has been insisting on doing checkups. ”

"Stomach ache ......"

"Check for D2 mers, lactate, and amylase. If it were me, there would have been more checks. Wu Mian said lightly, "Later, it must have been the protagonist's insistence, and when I went to the patient's house in the middle of the night, I found that the little girl was in a coma." ”

"How was it diagnosed?" asked Matthew's interest.

Wu Mian didn't answer, he looked at the sky outside the window, and his fingers tapped the armrest of the chair much faster.

"Hyperthermia is a very common clinical manifestation, but the disease of hyperthermia is that what the consequences of missing a Kawasaki do you know? Who's responsible?"

"β scarlet fever caused by hemolytic streptococcus, there is a certain chance of cross-immune reaction in the sequelae period, and the antibodies produced by the body will attack the joints, endocardium and glomerular vascular intima.

"Why is there so much medical examination in the hospital, and the doctor's conscience doesn't hurt?"

"Why do you need to do multiple tests to see a doctor in a hospital, is it because the current level of medical care is limited or because it is to generate income?"

"There are too many questions like this, I don't want to think about it. Wu Mian shook his head, it was obvious that years of habit had made him adapt to the problems that could not be solved, so don't think about it.

"Mr. Wu, what do you think about the situation in Han?"

"I don't know. Wu Mian shook his head.

"You just talk about it, and you don't give a diagnosis to the patient. Ma Xiude smiled, "Teacher Wu, you are too cautious. ”

"Hehe, want to hear it?" Wu Mian asked, looking into Matthew's eyes.

Matthew was even more curious and nodded.

"Han Guangyun has a faint smell of wine, and it is estimated that he has a lot of entertainment. Come to think of it, I am so young, and I have the strong support of Dean Li......"

"Let's not talk about this, let's talk about illness. Wu Mian said, "I originally wanted to say a few more words to Han Chu, a layman commanding an insider, what a thing." He will be responsible for the accident? He will definitely push and push when the time comes, and what kind of doctor does not know how to analyze the specific situation, and he is stubborn in handling things.

When you stand up again, you know that you are instigating contradictions and confrontations, and if something happens, you stand on the morally and blame the doctor for not being good enough. ”

Matthew listened quietly.

"But when I changed clothes, I saw that his face was pale, his waist was a little bent, and his position was strange. The right hand touched the abdomen twice, but each time it touched and then took it away, it was obvious that there was a slight pain in the abdomen. ”

"Pancreatitis?"

"It's possible, or it could be gastritis, and you have to do an examination to find out. Wu Mian said, "I don't see Han Guangyun's current state, if it is really like my judgment, he has entered a state of 'indifference', it may be accompanied by infection and toxic shock." ”

"......" Ma Xiude didn't expect Wu Mian's judgment of Han Guangyun's condition to be so serious.

"I didn't even check the blood routine, and no one could give an accurate diagnosis. Wu Mian said, "The previous increase in blood pressure is considered to be a manifestation of the "autotransfusion state" of the whole body blood vessels, especially microvascular spasm in the early stage of shock. As his blood pressure got lower and lower, Han Guangyun's condition became more and more dangerous. I would like to remind you that I hope Director Li will take notice. ”

"Uh......" Matthew was speechless.

"Ma Yuan, you think I'm acting rashly and cursing Director Han. ”

"No, no, no. Matthew sighed, clenched his phone and said, "Because I thought about it for a long time a few years ago. ”

"There was a young migrant worker who came to the hospital because of a fever, and the doctor on duty did not check the blood, did not have an electrogram, did not take a film, prescribed cold medicine and let him go back, and the patient died a few days later. "The workers and their families came to the hospital to discuss the explanation, and I personally received them." ”

"The doctor on duty is also a second-class person, Mr. Wu, what do you guess he told me?"

"You see I saved your family a few hundred dollars, the previous 999 colds were estimated correctly, this 1 myocarditis was not estimated, the misdiagnosis rate is not high, you can only be considered unlucky. Wu Mian said.

Mr. Wu is a clinician, and this kind of thinking is also a kind of clinical thinking. It is estimated that he has weighed the pros and cons many times, and he knows what he wants to say. Matthew thought to himself and nodded.

"If you walk by the river, there is no one who doesn't get your shoes wet. Just seeing a doctor like this, the immortal is really lucky. Wu Mian said, "Is it myocarditis or ......?"

"It's myocarditis. Matthew said hurriedly.

Wu Mian smiled, looked at Ma Xiude and said, "Hurry up and call Director Li, I don't dare to guarantee that Han Guangyun is in shock, but the most basic examination should still be done." We are responsible for putting forward opinions, and it depends on Director Li whether we will investigate or not. ”

"Good, good. Seeing that Wu Mian was empathetic, Matthew knew that he was in a hurry, so he was not polite, bowed slightly, turned around and walked out of the office.

"Brother, I don't feel right. Chu Zhixi asked.

"Luckily, I didn't do any other tests. Wu Mian said, "If you check your kidney function and find that you have kidney failure, and then you have a headache and the doctor gives you diuretics, I'm afraid that Han Guangyun will no longer be able to do it." ”

"You ......," Chu Zhixi frowned and said, "This situation is too rare." ”

"I'm just casually saying that after pushing a tube of high sugar, there will be no people, we saw it in Massachusetts 3 years ago. ”

"emmmm......" Chu Zhixi tried to recall.