Sleepless Doctor

Latest website: Han Guangyun has been completely confused.

This teacher Wu, who used to be Director Ma’s mouth, is a celebrity. It is said that the privatized county hospital was brought down with bare hands and the dean was sent to prison.

Before the newly renovated building of the county hospital could be used, he was taken into his bag and transformed into the fifth hospital of the Medical University. Moreover, the Fifth Hospital of the Medical University did not use it at all, and directly showed the signs of Cambridge and Concord.

But here is the Second Hospital of Medical University, the medical office of the Second Hospital of Medical University, why is he so arrogant!

Although thinking so in his heart, Chief Han really wanted to point to his nose and ask him why he was so arrogant. But the fingers had a terrible headache, and they were almost cut off just now. He had been taught a lesson once, and he had been horrified long ago.

"Do you know what filgrastim is?" Wu Mian asked leisurely, almost lying in a chair.

"..." Han Guangyun was speechless for a while, he really didn't know what filgrastim was.

Not to mention that he is a layman, most clinical doctors don't know.

It is also recombinant human granulocyte colony stimulating factor, with many trade names. Filgrastim is a special trade name for colony stimulating factor produced by Amgen.

"You don't know anything here, just grab our nurse by the hair and ask her to apologize. Director Han, do you think it is questionable?" Wu Mian said leisurely.

Director Ma was taken aback, and what flashed in his mind was that Director Xue mentioned the tragic ending of the Zhang brothers at the county hospital.

The nurse named Li Qiong has become our nurse in Teacher Wu's mouth, and this matter has become a dispute between the Second Hospital of Medical University and the fifth hospital.

And with the method of Teacher Wu-the Ministry of Foreign Affairs and the Ministry of Commerce on the hospital side directly came forward to decorate... Don't be too simple to become a division-level cadre of the Second Hospital of Medical University.

"Mr. Wu..." Matthew trot, "rolled" to Wu Mian's side, and whispered.

After only one name was called, Matthew did not continue to speak. Everything is unspoken, he believes Wu Mian can understand.

"President Ma." Wu Mian sat on the chair, turned half a circle, looked at Matthew De, and said seriously, "You have something wrong with this matter."

"Yes, yes." Matthew didn't argue at all, he nodded and said.

Teacher Wu is always reasonable, but if you are really unreasonable, don't argue with him.

Seeing Matthew De like that, Wu Mian couldn't help laughing.

The frost all over the room melted instantly.

"Dean Ma, I didn't say you." Wu Mian tapped the arm of the chair lightly with the finger of his right hand, and said, "In 1985, the country first had undergraduate nursing majors. Since 1994 and 1995, university enrollment expanded, and the number of undergraduate nurses finally increased. "

"What did Concord do then?"

"Go directly to the school, as long as you are willing to come to Xiehe, written examinations and skills pass directly to the establishment."

"Others don't know, say the doctor's mouth, the nurse's leg. You old medical director, can you still not know this?"

"What the **** are you going to say!" Han Guangyun was quite reluctant in his heart, and said "fiercely".

Wu Mian glanced at him and smiled slightly, "Dean Ma takes care of the overall situation. This is to take care of you. Why are you still hitting the gun."

Han Guangyun stared at Wu Mian, annoyed.

"I ask you, have you consulted with the whole hospital after the accident?" Wu Mian looked at Han Guangyun and said.

"The matter is already clear, that is..."

Wu Mian stood up, like a frightened rabbit, Han Guangyun filled up quickly, jumped directly to the corner, and screamed like a little girl who met a gangster, "What are you going to do!"

"You know about dumping the pot after the accident? You don't even ask for a consultation in the whole hospital?" Wu Mian was also taken aback by Han Guangyun's actions, and said dumbly.

Han Guangyun was afraid that Wu Mian would do it, so he didn't dare to slap his mouth.

"In abdominal trauma, the incidence of spleen injury is as high as 40-50, and spleen injury is more common in trauma. Non-traumatic splenic rupture only accounts for 1% of splenic injury, and it is quite rare in clinical work." Wu Mian sat down slowly, He said casually, "Patients don't understand, and neither do you? You are the chief of medical affairs, who resolve disputes, not create contradictions!"

"Oh, I'm sorry, you really don't understand." Wu Mian didn't bother to explain to him, and smiled contemptuously. "The initial consideration is that the spontaneous rupture of the spleen caused by filgrastim has nothing to do with nursing work."

The director of the respiratory department standing at the door listened to Wu Mian's words, walked in cautiously and asked, "Mr. Wu, hello."

"Heh." Wu Mian didn't bother to pay attention to him, and laughed for a while.

"What is the non-spontaneous rupture of the spleen you said?" The director of the respiratory department looked at Wu Mian in confusion and asked.

"The understanding of non-traumatic splenic rupture is getting deeper. Orloff and Pesk put forward four criteria for diagnosis in 1958: the patient has no history of trauma, and no adhesions outside the lesion suggesting past injury, no other diseases and specimens involving the spleen. It appears normal under the microscope and in general."

"In 1958, the standard concept was proposed. Have you never learned it in school?" Wu Mian asked, looking at the director of the respiratory department.

"Ms. Wu, I do know about non-traumatic rupture of the spleen, but the drugs we use are all clinically commonly used drugs. The patient himself..."

Wu Mian interrupted him directly and said, "Filgrastim is a recombinant human granulocyte colony stimulating factor. This type of drug is often used for hematopoietic stem cell mobilization, chronic severe neutropenia, and bone marrow suppression after chemotherapy."

"In pre-marketing clinical studies, it has also been observed that it can cause mild spleen enlargement in most healthy subjects, but this change is reversible, often subsides within a few weeks, and the degree of splenomegaly is also related to its application dose and cycle ."

"At that time, my teacher Dr. Anthony's teacher suggested that filgrastim may cause spontaneous splenic rupture, but the US FDA still passed the clinical approval of this drug."

"In these years ~www.wuxiaspot.com~ we have been looking for similar medical records. A total of 23 similar patients have been found in Europe and the United States. There are not too many cases in China. This is the first case."

The middle-aged man from Amgen was crying, but he didn't dare to say a word.

The director of the Respiratory Department of the Second Hospital of Medical University was stunned. There are problems with the instructions of the imported drugs? impossible!

"Five years ago, Dr. Anthony suggested that filgrastim should add a sentence to the instructions." Wu Mian continued, "The use of recombinant human granulocyte colony stimulating factor in healthy subjects has also reported spleen rupture in the literature. The applied doses are 10 and 20 μgkg. Although the rupture of the spleen caused by recombinant human granulocyte colony stimulating factor is very rare, and there is no evidence that the patient's characteristics can increase its risk, clinicians still need to pay attention to this possibility when taking the drug ."

Wu Mian only explained a few words with the director of the Department of Respiratory Medicine of the Second Hospital of Medical University, and looked at the manager of Amgen.

"Teacher Wu, raise your hand."

"You are not enough to tell me about this." Wu Mian said with a smile.