Sleepless Doctor

"The doctor has no sleep(

"There is nothing particularly abnormal, that is, she has difficulty breathing, and she is getting heavier. She can't sleep well at night, and she was awakened when she fell asleep. I took her to see twice, and the doctor said that the lungs and trachea were not Question." Liu Xiaomei's father is still calm, he said.

"Anymore."

"..." Liu Xiaomei's mother anxiously pulled Wu Mianyi's corner, tears already overflowing in her eyes, "Doctor, Xiaomei is okay, how is she?"

Wu Mian also knew that coming out to ask patients' family members about the situation at this time was a matter of **** difficulty, so the scruples of inducing questions were not in his consideration at all.

"Let's put it this way, has Sun Xiaomei been very thin recently?" Wu Mian asked directly.

"How do you know? She recently... is very thin." Sun Xiaomei's mother said, "In less than 2 months, she lost 20 jin. I heard Xiaomei say that it is fine if she is sick, at least not. Worried about losing weight."

"What about your temper?"

"Xiaomei has always had a good temper, and nothing has changed."

Wu Mian nodded and said, "Okay, then I'll go back first. Wait a while, the operation will be over in about 3 hours."

After finishing speaking, he went into the operating room without looking back, leaving the patient's family with a bewildered look.

After entering the operating room, he ran into Matthew De, who had just changed his clothes and came in.

"Ms. Wu, consider the weight loss caused by hyperthyroidism?" Fang Jinshui asked.

"Yeah." Wu Mian said, "Otherwise, there is no way to explain the sudden weight loss and the increase in surgery center rate."

"But does thyroid crisis occur in patients with untreated or inadequately treated hyperthyroidism? It is often induced by stress such as infection, trauma, surgery, diabetic ketoacidosis, childbirth, etc." Fang Jinshui asked.

"This is only one aspect." Wu Mian replied, "Under stress, a large amount of thyroxine in the body of patients with hyperthyroidism is released into the blood, causing a faster heart rate and increased metabolism. Therefore, thyroid crisis is characterized by tachycardia, high fever, and obvious Changes in consciousness... the patient is under general anesthesia, which is not obvious."

"The diagnosis process should be differentiated from malignant hyperthermia, pheochromocytoma, allergic reactions, brain damage, and neuropathic malignant syndromes. Heart failure and shock often indicate a critical condition. Now the patient’s condition is not allergies, but thyroid. Crisis."

"..." The two directors were startled. In the previous intraoperative consultation, the diagnosis of intractable anaphylactic shock was so easily overturned?

"Ask, when will the inspection results of A Gong three items come out?" Wu Mian said.

"Good." Director Xu responded immediately.

At this time, there is no other way, it is just a check, and you must do it first.

Fang Jinshui frowned, "Mr. Wu, I went back to criticize the bedside doctor, how to ask about the medical history, I didn't ask about being thin!"

"It's also normal." Wu Mian said, "Women in their 30s have passed their peak physical functions, and most people are no longer dry-eating and not fat, so all kinds of weight-loss methods are available. Nothing. For cancer, it’s normal to ask the medical history to ignore this. The key is why the three items of A function are not checked before surgery?"

Wu Mian looked at Fang Jinshui with reproach in his eyes, slightly harsh.

The two directors only sighed.

Wu Mian didn't embarrass them, and went directly to the operating room.

"Director Xu, why are there so many regulations now?" Matthew De asked in a low voice following behind.

"Isn't this the recent activity of not begging for medical treatment? Director Han came up with a lot of regulations after seeing a doctor and not begging for help. Try to do as little inspection as possible and save every penny for the patient." Director Xu was also helpless, he was deeply impressed. Sighed.

Whatever you understand, you understand, what you don't understand... There is no one who doesn't understand.

"A few days ago, Director Han brought people to check everyone’s doctor’s orders and asked a lot about the operation. The three items of A Gong...In the words of Director Han, it was over-medical treatment, pre-operation. Can't be checked. He also scolded a lot of nasty things at the time, saying that we were adding a burden to the patients."

What else can't be checked? Matthew was blocked and speechless.

It has only been more than a month since I and Dean Xue left, so how come they have become so dilapidated.

"Some rare emergency investigation items need to be applied for by the medical department. If there is a shortage of people in the laboratory, the relevant staff will be transferred to other positions." Fang Jinshui continued to nag.

"Have you contacted?"

"Talk to the medical office, but there is no result."

Matthew De looked at Wu Mian's back, he could feel Wu Mian's muscles tense, as if he was very angry. Reminiscent of the patient's spontaneous rupture of the spleen last time, Mr. Wu rubbed Han Guangyun's head against the wall... Matthew instantly grasped what he was going to do.

First of all, we must try our best to let the patient go through the dangerous period, and at least live on the operating table. This is the most basic. If there is no guarantee for this, nothing else will make sense.

Secondly, we must appease Mr. Wu~www.wuxiaspot.com~Don't run away.

"Director Xu, go and take a look. As a result, you must hurry up." Matthew De exhorted.

The director of the Department of Anesthesiology personally coordinated this matter. If the previous 2 months, there would be no problems when Director Ma was still there. Results will be available in the shortest time, and symptomatic treatment will begin on the operating table.

However, nowadays, one policy is binding the clinician's orders. The machine has rusted, and Director Xu has no idea.

As he walked, Director Xu took out his mobile phone.

"Director Han, I will report something to you." Director Xu said cautiously, "We need to check the thyroid function urgently. Please ask the medical office for approval."

"Director Xu, there are specific personnel responsible for this matter. You submit an application, as long as the information is complete and there is a consultation in the relevant department. I am working on site and I am very busy." Director Han said.

"Director Han, the patient is considering a thyroid crisis, and the intraoperative examination is terrible!" Director Xu said loudly while holding his mobile phone.

"Isn't it a patient with rheumatic heart disease? Director Fang called me just now, what did you do!" Han Guangyun said sharply, "Rheumatic heart disease, do you think I am a layman and don't know what rheumatic heart disease is? Rheumatic heart disease, you guys I have to check my thyroid function, do you have doctors like this!"

"..." Director Xu was speechless, would he have to repeat it himself?

"Naughty! If you are not allowed to check before the operation, you will force the palace during the operation! The documents issued by the medical department are approved by Dean Haihua, in order to reduce the burden on patients and provide better services..."

Director Xu has long been familiar with the next words, and the spirit given at each hospital weekly meeting is the same vocabulary, and he has memorized it all by heart. Director Xu complained in his heart. If the medical department disagrees, the results of the examination will not come out at all.