Sleepless Doctor

"The doctor has no sleep(

"Wu...Why did Wu Mian come?" Han Guangyun lowered his voice and asked.

"Director Han, Director Fang and I are worried that the patient will not be able to get off the stage, and the rescue medication has given a lot of shock and it will not be good, so we have to ask Teacher Wu to come and have a look." Director Xu said.

Wu Mian heard the voice and knew that Han Guangyun was coming, but didn't look back, as if he didn't know someone was coming in, and continued, "Hold your hands firmly. The stitch distance of the third stitch is slightly larger. Pay attention to the position of the peeled calcified plaque. , Otherwise it is easy to bleed after surgery, leading to a second thoracotomy."

Between being scolded and being directly ignored, Han Guangyun would rather choose to be scolded by himself.

Ignorance means silent contempt, contempt in the bones.

Seeing Wu Mian's attitude, Han Guangyun's anger rose, new and old hatreds surged into his heart.

"Did the medical office approve it?" Han Guangyun said in a deep voice, "Anyone can enter the operating room?!"

His voice was not too loud or too small, and it sounded like a whisper, but Han Guangyun and Wu Mian were sure that they could hear them.

Director Xu was silent, looking at Han Guangyun meaningfully, without saying a word.

"Hehe, Guan Wei is really big." Wu Mian looked back, not looking at Han Guangyun, but directly at Director Xu, "If foreign medical staff perform invasive operations and participate in consultations, they need to be filed by the medical office and approved by the hospital."

Han Guangyun was startled.

"I'm here to visit and learn." Wu Mian said with a smile, "The newly established hospital learns from the advanced experience of the brothers' hospitals and goes back to serve the people better. What's the matter, Director Han has an opinion? Or is it one of the brothers' hospitals? All exchanges must follow the procedures of the Science and Education Department."

Facing Wu Mian who was talking nonsense with his eyes open, Han Guangyun was speechless for a while.

Brother Hospital...MB, do you know it is a Brother Hospital? The corners of the second courtyard are almost cut off! A wall that was originally indestructible has now been dug to teeter, isn't it all the moths caused by Jianxie Hospital and your teacher Wu Mianwu.

Han Guangyun was unhappy, but he dared not say anything. He knew Wu Mian's force value. Moreover, when they beat themselves up, they have enough strength to settle it... if they knew he was there, he would definitely not come over.

Xu Caizhi, the immortal old man, actually yin on himself! Han Guangyun glared at Director Xu angrily.

"Slow down, don't worry, especially pay attention to the spacing of the stitches. Aortic valve replacement surgery is not difficult, it is best to do the key steps."

"Esmolol 20mg intravenously, intravenously."

"Cidilan, give half a stick, 0.2mg."

"Verapamil 2.5mg and continuous pumping of amiodarone 10μg·kg-1·min-1."

"I would like to remind you of the three inspection results of A Gong."

After Wu Miantong finished Han Guangyun, he stood in the operating room and directed the rescue. However, the operation process only occasionally mentioned a key point without special attention.

As far as Wu Mian is concerned, the difficulty of heart surgery is the same. If the Second Hospital of Medical University can complete it, there is no need to brush his hands.

The doctors and nurses in the operating room each bowed their heads and were busy with their own affairs. In this case, if you look up at Director Han, I am afraid that he will be even more embarrassed. Although Director Han didn't say anything now, he couldn't stand his future revenge.

Han Guangyun was also terribly uncomfortable. Wu Mian simply didn't take himself as a dish. This guy just said that he was visiting and studying, and then he directed rescue...

The monitor's alarm sounded continuously, and the patient's vital signs were not stable, but the entire operation was completed step by step under Wu Mian's command.

"Mr. Wu, the inspection result is back." Director Xu answered a call and said to Wu Mian.

"T3: 12.2, T4: 584.1, FT3: 54.52, FT4: 84.2, TSH: 0.22."

Director Xu took the phone and quickly read the value on it.

Serum total T3 and T4; free T3 and T4 are several times higher than normal, and TSH is lower than normal. Regardless of whether it is a thyroid crisis, the test report is abnormal.

"Propylthiouracil 600mg, propranolol 10mg, inject through a gastric tube."

Director Xu was fortunate in his heart. Fortunately, Ms. Wu Mian and Wu asked to prepare the medicine dozens of minutes ago. Otherwise, propylthiouracil, a medicine that has not been used in the operating room for eight lifetimes, must not be used in the first time.

"60 minutes after the gastric tube was injected with propylthiouracil, 1.0g of sodium iodide was added to 500ml of 5% dextrose saline, followed by a slow intravenous infusion for 12 hours."

"Propranolol, 3mg added to 5% dextrose saline 250ml slowly intravenously." Wu Mian said continuously, "Know how to stop propranolol."

"I know." Director Xu turned into a small anesthesiologist, holding an A4 paper in his hand, writing down what Wu Mian said, not daring to miss a word, "Pay close attention to changes in heart rate and blood pressure. Once the crisis is lifted, switch to routine Dosage, I know, I know."

"Yeah." Wu Mian nodded.

"First give a bottle of hydrocortisone, and then add 100mg of 5% glucose saline to 500ml intravenous drip."

"Sent to ICU after surgery to prevent infection with antibiotics. Also, pay attention to checking liver and kidney function. Some patients will have multiple organ failure after a thyroid crisis."

With that said, Wu Mian glanced at Fang Jinshui and asked, "Director Fang, should the preventive use of antibiotics have to be approved? Or is it not allowed at all?"

"Now don't let ~www.wuxiaspot.com~ Fang Jinshui dare not look at Han Guangyun, and bit the bullet and tell the truth.

"If you seek a consultation with the clinical pharmacy team, you must use antibiotics in advance. High-level, high-dose, if you don't let me call." Wu Mian said directly to Fang Jinshui without looking at Han Guangyun.

"..." Listening to Wu Mian's words, Han Guangyun felt a little dazed and a little angry.

The value returned by the test just now...he didn't understand any of them. Although I don't understand, looking at the expressions of Wu Mian, Fang Jinshui, and Xu Caizhi, we can see that there are really problems with the laboratory tests.

Why does a heart surgery cause thyroid problems? Han Guangyun suppressed countless questions in his heart, lowered his head, and said nothing.

Before coming in, I could only swallow all the cruel words I said to Director Xu.

Although the guy "arrogantly" said he was not allowed to call him with medicine, who did he think he was? ! Dean? Or the Director of Medical Affairs! Or...Han Guangyun's chest is suffocated, and his stomachache is getting worse again.

Wu Mian didn't even look at Han Guangyun. After explaining the doctor's orders one by one, the anesthesiologists and nurses in the operating room began to execute them. Ren Haitao followed, cautiously looking at the manufacturer and production date of each medicine.

After the drug was injected, the patient's vital signs remained unchanged. The high pressure is still swaying around 75mmhG, the heart rate is around 160 minutes, the alarm of the monitor keeps on, and the sound of Didi makes people upset.

But the aura exuding Wu Mian's body was much milder, and Matthew De could clearly feel that Teacher Wu was relaxed.

"Mr. Wu, when will the medicine work?" Matthew De asked in a low voice.

"Let's go down." Wu Mian said, "It will always be like this during the operation. But it's okay. Give propylthiouracil and sodium iodide in. People should be fine."