Sleepless Doctor

"The doctor has no sleep(

"Ms. Wu, what's the situation then?" Matthew De asked.

Wu Mian hung up the phone, returned the phone to Matthew De, shook his head slightly, and said, "Han Guangyun does not do any inspections. It is really a chance to treat the disease? But his physical strength is really awesome!"

Matthew De could hear the sarcasm in Wu Mian's tone, recalling the expressions when he saw Han Guangyun during the day and the directors of the Second Hospital, he was helpless.

"Oh, how do I put it." Matthew sighed deeply.

"Mayuan, there is 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... give an example."

Matthew De was stunned, the same is true abroad?

"I guess Director Han has gone abroad and learned about the diagnosis and treatment procedures abroad. But that set of procedures... Hey! It's been spewed out a long time ago. As long as it is a clinician, who doesn't spray them?" Wu Mian His right hand hits the arm of the chair, as if playing a piano, his fingers beating, like an elf.

"It's the same in foreign countries."

"Good doctor, have you seen it at the Horse Academy?"

"I heard it, watched it for 20 minutes. Seeing the protagonist raise the breast bottle so high, I don't have much interest. It's not professional at all, and foreign filming is so poor, really."

"An idealized revision of the TV series, do you watch it dialectically?" Wu Mian smiled, "In the second episode of the first season, a little girl has a stomachache. The parents think that it costs a lot and think that the little girl is evading school. Only the protagonist insists. Check it out."

"stomachache……"

"Check for D2 polymer, lactic acid and amylase. If I am, there must be more tests." Wu Mian said lightly, "Later, it must be the protagonist who insisted on going to the patient's house in the middle of the night and found that the little girl was unconscious."

"How was it diagnosed in the end?" Matthew De's interest suddenly came up and asked.

Wu Mian did not answer. He looked at the sky outside the window, and his fingers tapped the arm of the chair much faster.

"High fever is a very common clinical manifestation, but some of the symptoms of high fever are. What is the consequence of missing a Kawasaki? If you don't have a cardiac ultrasound, if the coronary motion has been dilated, the person will be fine at the time. Who is responsible for the accident?"

"Scarlet fever caused by beta-hemolytic streptococcus has a certain chance of cross-immune reactions during the sequelae. The antibodies produced by the body will attack the joints, endocardium and glomerular vascular intima. Why do we have to review the patient’s urine routine every day? Myocardial enzymes, kidney function? Who is responsible for the incident?"

"Why does the doctor's conscience hurt when there are so many hospital visits?"

"Why do you need to do various examinations when you go to the hospital? Is it because of the current limited medical level or is it to generate income?"

"There are too many problems like this, I don't want to think about it." Wu Mian shook his head. It was obvious that years of habit made him adapt to the problems that he couldn't solve, so don't think too much.

"Teacher Wu, what's the situation with you considering Department Han?"

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

"You just talk about it, you are not giving a diagnosis to the patient." Matthew De said with a smile, "Ms. Wu, you are too cautious."

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

Matthew De was more curious and nodded.

"Han Guangyun has a faint taste of alcohol, and it is estimated to be a lot of entertainment. I want to come, so young, and Dean Li's great support..."

"Don't talk about it, let's talk about sickness." Wu Mian said, "I wanted to say a little bit more, the layman directs the insider, what kind of stuff. He is responsible when something goes wrong? He will definitely push three or six nine by then, what kind of doctor? I don't know how to analyze the specific situation, and act rigidly and so on.

When you stand up again, you know that you will instigate contradictions and confrontation, and if something goes wrong, you will criticize the doctor morally for not being competent enough. "

Matthew De listened quietly.

"But when he changed his clothes, I saw his face turned pale, his waist was a little bent, and his posture was strange. His right hand touched his abdomen twice, but every time he touched it, he took it away. Obviously there was slight abdominal pain."

"pancreatitis?"

"It's possible, or it may be gastritis. You need to check it." Wu Mian said, "I haven't seen Han Guangyun's state now. If it is really like I judged that he has entered a state of'indifferent', it may be accompanied by infection. Toxic shock."

"..." Matthew did not expect Wu Mian's judgment of Han Guangyun's condition to be so serious.

"Without checking the blood routine, no one can give an accurate diagnosis." Wu Mian said, "Before the increase in blood pressure, it is considered that the blood vessels of the whole body in the pre-shock stage, especially the manifestation of the "self-transfusion state" of microvasospasm. As the blood pressure is getting lower and lower, Han Guangyun's situation is getting more and more dangerous. Let me remind you, I hope Director Li will notice. "

"Uh..." Matthew was speechless.

"Ma Yuan, you think I'm arrogant, curse Chief Han."

"No, no," Matthew De sighed, squeezing the phone and said, "Because of the inspection, I thought about it for a long time a few years ago."

"A young migrant worker came to the hospital because of a fever~www.wuxiaspot.com~ The doctor on duty didn't check blood, was unhappy with electrograms, and didn't take any film. He prescribed cold medicine and let him go back. The patient died a few days later." Ma Xiude said, "The worker and his family came to the hospital to ask for an explanation, and I personally received it."

"The doctor on duty is also a second-hand. Guess what he told me, Teacher Wu?"

"You see that I saved your family a few hundred dollars. The previous 999 colds were estimated to be correct. This myocarditis was not estimated. The misdiagnosis rate is not high. It can only be regarded as bad luck." Wu Mian said. .

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

"I often walk by the river, and there is no way to not wet your shoes. Just seeing a doctor like this, the undead is really lucky." Wu Mian said, "Is it myocarditis or..."

"It's myocarditis." Matthew De said quickly.

Wu Mian smiled and looked at Matthew De and said, "Hurry up and call Director Li. I can't guarantee that Han Guangyun is in shock, but the most basic inspection should be done. We are responsible for making comments. If you don't check, you need to see Director Li."

"Okay, okay." Seeing Wu Mian's understanding, Matthew knew that he was anxious and he was not polite, so he bowed slightly and turned out of the office.

"Brother, why do I feel wrong." Chu Zhixi asked.

"Fortunately, fortunately, no other tests were done." Wu Mian said, "If the kidney function is checked and it is found that there is kidney failure and the doctor gives diuretics for a headache, I am afraid that Han Guangyun will no longer work."

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

"I just said it casually. After pushing a high sugar tube, people disappeared. We met in Massachusetts 3 years ago."

"Emmmm..." Chu Zhixi tried hard to recall.