Sleepless Doctor

　　The eyes of the boy lying on the flat wagon seem to be a bit convex, but this alone doesn't tell much. What's wrong with people's natural big eyes? ! Section Chief Duan thought subconsciously.

　　 As for the thyroid gland... Section Chief Duan almost cracked his eyeballs, barely able to see a little swelling. Can this diagnose hyperthyroidism? Just kidding.

　　 Young people are young people who don't have any sense of stability, Section Chief Duan muttered in his heart.

　　 "Prepare a micro pump, and pump it in after the results are reported..."

　　 Halfway through what Wu Mian said, the nurse said embarrassedly, "Well... there is no micro pump in our hospital."

"..." Wu Mianfu, from the time he went to the hospital for internships and internships until he came back from the United States, he always used a micro-pump for potassium. He didn't even need to think about how much he should pump, he could tell by opening his mouth. , Has been integrated into the bones and become an instinct.

　　 But this is the Bajingzi Hospital of Traditional Chinese Medicine. It doesn't even have a micro pump. If it is given by a peripheral vein, it is quite difficult to calculate.

　　 Potassium chloride's stimulation of peripheral blood vessels, how many milliliters a drop of liquid is equivalent to, the type of infusion set, the concentration of potassium supplementation, the patient's physical condition, etc. all need to be taken into consideration.

　　 "It's okay." Wu Mian said, "Wait a moment."

"Then what?"

　　 "I will teach you how to do it." After Wu Mian finished speaking, he turned to look at Wei Dabao, "Dr. Wei Dabao, Wei."

　　 "Uh, I am." Wei Dabao replied in a daze.

　　 "Talk to your family, arrange to have an electrocardiogram for the child, and then come..." Wu Mian glanced at Section Chief Duan.

　　 "Xiao Wu, do you want a quieter place?" Section Chief Duan asked.

　　 Although Wu Mian was wearing sunglasses and couldn't see his eyes, Section Chief Duan still accurately felt what he meant by himself.

　　 Wu Mian nodded.

　　 "Duty room."

"good."

　　 Section Chief Duan was a little worried. Is this going to kill the mighty stick? Xiao Chen was still young, so he didn't know that the intrigue in the primary hospitals was not less than that of the higher-level hospitals, and was even more complicated to some extent.

　　 The key point is that big cities are basically playing tricks and wearing small shoes. If you provoke someone in the primary hospital, you really dare to beat people.

　　 Don't say anything else, just talk about the Wei Dabao in front of him, why did he open one eye and close the other and pretend not to see it?

　　 That's all for a reason.

　　Wu Mian wants to take the posture of the chief of the medical department and scold Wei Dabao... Xiao Wu doesn't care if he can overturn the car, just don't drag him down.

Section Chief Duan led Wu Mian to the duty room and saw Dr. Wei Dabao arranging for the patient to do the electrocardiogram. He flashed his mind and thought clearly about the stakes, and whispered, "Xiao Wu, our primary hospital... "

　　 "Chairman Duan, you sit down." Wu Mian stood in the duty room, only glanced at the mess of bedding, and at first he 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 read the electrocardiogram."

　　 Section Chief Duan frowned, thinking that you still know you need to read the ECG to know? He wasn't as reckless as he judged.

　　 I just saw Wu Mian and didn't want to say more. Section Chief Duan sighed and immediately began to introduce him to the emergency department.

　　 Unlike the large-scale tertiary hospitals, the emergency department of the Bajingzi Hospital of Traditional Chinese Medicine is not fully equipped. Not only is there no micro pump, but even the staff is incomplete.

　　 For example, there are no surgeons in the emergency department, only physicians. If you encounter a trauma patient, call the surgeon on duty for treatment.

　　 Primary hospitals are simple because they are rudimentary, and everyone knows it, including the patients.

　　 Soon, Dr. Sun walked in with the newly printed electrocardiogram. Wu Mian didn't answer the call, and asked, "Dr. Wei, in what year did you graduate from the medical school?"

　　 Hearing Wu Mian's question, Section Chief Duan's heart suddenly picked up.

　　 This is the rhythm of fighting, simple and straightforward, without the slightest concealment. Although I didn't greet other parents directly, from a doctor's point of view, questioning the graduate school is equivalent to pointing to the nose and saying that I didn't study well and didn't do business properly.

　　 "Bethune graduated." Wei Dabao said.

"Um?"

　　 Wu Mian used his nose to make a sound. Although he was behind the sunglasses, Wei Dabao still had an "illusion". His eyes were sharp as a knife, and he poked his heart straight.

　　 He quickly explained, "Twenty years ago, correspondence class, undergraduate."

After 　　 explained, Wei Dabao felt weird. Why does this weird young man in front of him always feel like he can't hold his head up? It's like being scolded by the master for being lazy.

　　 "Correspondence is also recognized by the state!" Wei Dabao then tried to refute.

　　 "Well, it's pretty good to have a correspondence education." Wu Mian said, "Can you read the ECG?"

　　"..."

　　 Hearing Wu Mian's words, Section Chief Duan and Wei Dabao were both stunned. In this tone of speech, it is clear that the head of the department is talking to his doctor.

　　He, just arrived, how dare to talk like that!

　　 The point is that this guy didn't even look at the electrocardiogram. He was pretending to be cool just wearing sunglasses, dare to say that?

"U wave increased by more than 1mm and merged with T wave to form a double peak T wave. What does it mean?" 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. What kind of ghost press has been liberated for many years, how can you still believe this kind of superstition? Just forget it. The key is that you are a doctor, and you don't perform scientific treatment, but exorcise the patient."

　　 "This is nothing wrong. If you are delayed here, regardless of whether the family will pursue it or not, will you feel guilty when you think about it the day when you are old?"

　　 "If you have nothing to do, learn more. If you don't learn and have no skills, there is no future."

　　 Wu Mian, who was just as taciturn like an iceberg, repeatedly scolded.

　　 "Xiao Wu, would you like to take a look at the ECG?" Section Chief Duan said aside.

"I saw it when Dr. Wei came in. The initial consideration was the abnormal electrocardiogram caused by hypokalemia. The cause of hypokalemia is highly suspected to be a complication of hyperthyroidism. The so-called ghost press is weakness of the limbs caused by hypokalemic periodic paralysis of hyperthyroidism. .UU Reading www.uukahnshu.com"

　　 "As for the differential diagnosis-such as acute poly radiculitis, polymyositis, and secondary hypokalemic paralysis caused by other reasons, I won't say more about these."

　　 Section Chief Duan was very upset, the kind of arbitrary, bossy, and domineering juvenile and aspiring young people shown in Wu Mian's body were simply not too strong.

　　 But he used his profession to talk about things, not his father or his mother. No one could say anything.

　　 "I'll go back if I'm fine." Wu Mian helped her sunglasses and said, "I just came back, the jet lag hasn't reversed, it's a little tired."

　　 After finishing speaking, he walked straight out of the duty room.

　　 "Wu...that, how should the patient be treated?" Wei Dabao asked.

　　 "There is a micro pump. When hypokalemia occurs, 10% potassium chloride is dissolved in physiological saline and pumped intravenously at a rate of 10mmol/hour. Pay attention to closely monitor blood potassium, otherwise hyperkalemia will also cause death."

"Our hospital does not have a micro-pump. Just add 1.5g potassium chloride to 500ml sugar or saline intravenously. The speed can't reach 10mmol/hour, but 80 drops/minute will do. Young people, don't be afraid. Be careful not because of pain or pain. The restlessness causes the needle to roll."

　　 After speaking, when people walked out of the room, Section Chief Duan felt vaguely as if he had hallucinations, and Wu Mian's face seemed 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 gave Wei Dabao a sideways look, and was furious at the thought of how he was doing folklore in white clothes just now.

　　 "The son of the mayor of Wu."

　　 "Which Township Chief Wu?"

　　 "Which one else can it be."

"that?"

　　 "Well, that."