3 If you don't learn, you can't have a future
The boy's eyes on the flat car seemed to be a little bulging, but that alone didn't mean much. What's wrong with people's naturally big eyes?!, Section Chief Duan thought subconsciously.
As for the thyroid gland...... Section Chief Duan's eyes were almost split, and he could barely see that it was a little swollen. Is that a diagnosis of hyperthyroidism?
Young people are young people, and they don't have any steady energy, Section Chief Duan muttered in his heart.
"Prepare the micropump and pump it into the ...... when the results are returned"
Halfway through Wu Mian's words, the nurse said embarrassedly, "That...... We don't have micropumps in our hospital. ”
"......" Wu Mian supported his forehead, since he went to the hospital for internships and internships in college until he came back from the United States, potassium has always been pumped in by a micropump, and he doesn't have to think about how much he should pump in, he can say it when he opens his mouth, and it has become an instinct in his bones.
But this is the Bajingzi Traditional Chinese Medicine Hospital, and there is not even a micropump. If it is given by peripheral veins, it is quite difficult to calculate.
The irritation of potassium chloride to peripheral blood vessels, how many milliliters a drop of liquid is equivalent to, the model of the infusion set, the concentration of potassium supplementation, the physical condition of the patient, etc., should be taken into account.
"It's fine. Wu Mian said, "Wait a minute." ”
"And then?"
"I'll teach you how to do it. After Wu Mian finished speaking, he turned his head to look at Wei Dabao, "Wei Dabao Wei Doctor." ”
"Well, I am. Wei Dabao replied in a trance.
"You talk to the family, arrange for the child to have an electrocardiogram, and then come to ......" Wu Mian glanced at Section Chief Duan.
"Xiao Wu, do you want a quieter place?" asked Section Chief Duan.
Although Wu Mian was wearing sunglasses and couldn't see it in his eyes, Section Chief Duan still accurately touched what he meant by looking at himself.
Wu Mian nodded.
"Duty room. ”
"Good. ”
Section Chief Duan was a little apprehensive in his heart, this was to kill the mighty baton? Xiao Wu was still young, how could he know that the intrigue in the grassroots hospital was no less than that in the higher-level hospital, and even more complicated to some extent.
The key thing is that big cities are basically playing tricks and wearing small shoes, and whoever provokes trouble in the grassroots hospital really dares to beat people.
didn't say anything else, just said that this Wei Dabao in front of him, why did he open one eye and close one eye and pretend not to see it?
There's a reason for that.
Wu Mian wanted to take out the posture of the head of the medical department and reprimand Wei Dabao...... Xiao Wu doesn't care if he rolls over or not, just don't worry about himself.
Section Chief Duan led Wu Mian to the duty room, and when he saw that Dr. Wei Dabao was arranging for the patient to do an electrocardiogram, his mind flashed, and he thought about the stakes clearly, and persuaded in a low voice, "Xiao Wu, our grassroots hospital ......."
"Section Chief Duan, you sit. Wu Mian stood in the duty room, only glanced at the mess of the bedding, and at first glance, it was picked up to see that the patient had not had time to clean up. He stood by the window and said indifferently, "You don't know until you look at the electrocardiogram." ”
Section Chief Duan frowned, thinking to himself that you still know that you have to look at the ECG to know? He didn't be as reckless as he judged.
It's just that seeing that Wu Mian didn't want to say more, Section Chief Duan sighed and immediately began to introduce him to the emergency department.
Unlike large tertiary hospitals, the emergency department of Bajingzi Traditional Chinese Medicine Hospital is not very well equipped, not only does it not have a micropump, but even the staff is uneven.
For example, there are no surgeons in the emergency department, only physicians. If you encounter a trauma patient, call the surgeon on duty to deal with it.
Grassroots hospitals, because of the ugliness, are simple, and everyone, including patients, knows it in their hearts.
Soon, Dr. Wei Dabao walked in with the electrocardiogram that had just been printed. Wu Mian didn't answer, and asked, "Doctor Wei, what year and which medical school did you graduate from?"
Hearing Wu Mian ask this, Section Chief Duan's heart suddenly pinched.
This is the rhythm of the fight, simple and straightforward, without the slightest disguise. Although he did not directly greet other people's parents, from the doctor's point of view, questioning the graduate school is equivalent to pointing his nose and saying that he did not study well in school and did not do his job.
"Bethune graduated. Wei Dabao said.
"Huh?"
Wu Mian made a sound through his nose, although he was through his sunglasses, Wei Dabao still had an "illusion", his eyes were as sharp as a knife, and he poked his heart.
He quickly explained, "20 years ago, correspondence class, undergraduate. ”
After explaining, Wei Dabao felt strange in his heart. How could this eccentric young man in front of him always make him feel like he couldn't hold his head up?
"Correspondence is also a nationally recognized academic qualification!" Wei Dabao then tried to argue.
"Well, it's good to have a correspondence degree. Wu Mian said, "Can you read the electrocardiogram?"
“......”
Hearing Wu Mian's words, Section Chief Duan and Wei Dabao were stunned. This tone of speech is clearly the director of the department talking to his doctors.
He, a newcomer, how dare he talk like that!
The point is that this thing didn't even look at the ECG, he was just wearing sunglasses and pretending to be cool there, so he dared to say that?
"WHAT DOES IT MEAN THAT THE U WAVE INCREASES BY MORE THAN 1MM AND MERGES WITH THE T WAVE TO FORM A BIMODAL T WAVE?" WU MIAN IS LIKE A TEACHER, HIS TONE IS NOT VERY HARSH, BUT IN THE EARS OF SECTION CHIEF DUAN AND WEI DABAO, IT IS SO HARSH.
"We are doctors, not ordinary people. How many years have the hell been liberated from the bed, how can you still believe in this kind of superstition? Forget about it, the key is that you are a doctor, and you do not carry out scientific treatment, but exorcise evil spirits from patients. ”
"It's nothing, if it's delayed with you, no matter whether the family will be held accountable or not, will you feel guilty when you think of it when you get old?"
"It's okay to learn more, and if you don't learn, you have no future. ”
Wu Mian, who was still silent just now, was like an iceberg, and reprimanded one after another.
"Xiao Wu, why don't you take a look at the ECG?" said Section Chief Duan on the side.
"When Dr. Wei walked in the door, I saw it, and the initial thought was that it was an abnormal electrocardiogram caused by low blood potassium. The cause of hypokalemia is highly suspected as a complication of hyperthyroidism, and the so-called ghost press is a weakness of the limbs due to periodic paralysis of hyperthyroidism and hypokalemia. ”
"As for the differential diagnosis, such as acute polyradiculitis, polymyositis, and secondary hypokalemic paralysis due to other causes, I won't say much about that. ”
Section Chief Duan was very unhappy in his heart, the kind of arbitrariness, imperiousness, and domineering of the young man that Wu Mian showed on his body was simply not too strong.
But he is talking about things professionally, not referring to his father scolding his mother, and no one can say anything.
"It's okay, I'll go back first. Wu Mian lifted his sunglasses and said, "I just came back, the jet lag hasn't reversed, and I'm a little tired." ”
With that, he walked straight out of the duty room.
Wu ...... So, how should the patient be treated?" Wei Dabao asked.
"There are micropumps, and during episodes of hypokalemia, 10% potassium chloride is dissolved into normal saline and pumped intravenously at a rate of 10 mmol/hour. Pay close attention to monitoring the potassium in the blood, otherwise high blood potassium will also kill people. ”
"There is no micropump in our hospital, so we use 1.5g of potassium chloride and add 500ml of sugar or saline to give it intravenously. The speed is not up to 10 mmol/hour, just give 80 drops/minute. Young people, not afraid. Just be careful not to roll the needle due to pain or restlessness. ”
After saying that, the person walked out of the door, Section Chief Duan vaguely felt as if he was hallucinating, and Wu Mian's face seemed to be a little pale when he finally left.
It wasn't until a few minutes after Wu Mian left that Wei Dabao asked, "Duan Ke, who was that just now?"
Section Chief Duan glanced at Wei Dabao, and when he thought of him wearing a white suit just now, he was furious in his heart.
"The son of the head of Wu. ”
"Which Township Chief Wu?"
"Which one else could be. ”
"That?"
"Well, that. ”