Han Guangyun is completely confused.


    Mr. Wu, the former director of Ma''s mouth, is a celebrity. It is said that he brought down the privatized county hospital with his bare hands, and the president was sent to prison.


    Before the newly renovated building of the county hospital could be used, he took it into his pocket and turned it into the fifth hospital of Medical University. Moreover, people in the fifth hospital of Medical University don''t need it at all. The signboard of Cambridge and Concorde is directly displayed.


    But this is the second hospital of Medical University, the medical office of the second hospital of Medical University. Why is he so arrogant!


    Although he thought so, director Han really wanted to point to his nose and ask him why he was so arrogant. But the fingers hurt so much that they almost broke. He had been taught a lesson once, and he had been counselled for a long time.


    "Do you know what Feige sting is?" Wu Mian almost lay in a chair and asked leisurely.


    "..." Han Guangyun was speechless for a moment. He really didn''t know what feigsting was.


    Let alone a layman, most clinical doctors don''t know.


    It is also recombinant human granulocyte colony stimulating factor, which has many trade names. Feigsting is a special trade name for colony stimulating factor produced by Amgen company in the United States.


    "You don''t know anything here. Just grab our nurse''s hair and ask her to apologize. Director Han, do you think it''s debatable?" Wu Mian said leisurely.


    Director Ma was stunned. What flashed in his heart was that President Xue talked about the tragic outcome of the Zhang brothers in the county hospital.


    The nurse named Li Qiong has become our nurse in teacher Wu''s mouth. This has become a dispute between the second hospital and the fifth hospital of Medical University.


    Moreover, by means of Mr. Wu, the Ministry of foreign affairs and the Ministry of Commerce directly decorate the hospital... It''s not too simple to build a department level cadre of the second hospital of Medical University.


    "Miss Wu..." Matthew trotted, "roll" to Wu Mian and whispered.


    With only one name, Matthew stopped talking. Everything was silent. He believed that Wu Mian could understand.


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


    "Yes, yes." Matthew didn''t argue at all. He nodded again and again.


    Mr. Wu is usually reasonable, but if he is really unreasonable, don''t argue with him.


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


    The frost all over the room melted in an instant.


    "Dean Ma, I didn''t mean you." Wu Mian said, tapping the armrest of the chair with his right hand. "In 1985, the undergraduate nursing specialty was first established in China. In 1994 and 95, the university enrollment was expanded, and the number of undergraduate nurses finally increased."


    "What did Concorde do at that time?"


    "Go directly to school. As long as you are willing to come to Xiehe, you can pass the written examination and skills."


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


    "What are you going to say?" Han Guangyun said fiercely.


    Wu Mian glanced at him and smiled, "President Ma, taking the overall situation into account, this is to take care of you. How can you hit the muzzle of the gun."


    Han Guangyun stared at Wu Mian, full of anger.


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


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


    Wu mian "Teng" stood up. Han Guangyun, like a frightened rabbit, filled up quickly and jumped directly to the corner of the wall. He screamed like a little girl who met a villain, "what are you going to do!"


    "Do you know how to throw the pot after the accident? Don''t even invite the whole hospital for consultation?" Wu Mian was startled by Han Guangyun''s action and said in tears and laughter.


    Han Guangyun was afraid of Wu Mian and didn''t dare to be stubborn.


    "In abdominal trauma, the incidence of splenic injury is as high as 40-50%, and splenic injury is more common in trauma. Non traumatic splenic rupture accounts for only 1% of splenic injury, which is also very rare in clinical work." Wu Mian sat down slowly and said casually, "patients don''t understand, you don''t understand? You are the medical director, who is to solve disputes, not to create contradictions!"


    "Oh, I''m sorry, you really don''t understand." Wu Mian was too lazy to explain to him and smiled contemptuously. "It was preliminarily considered that the spontaneous rupture of spleen caused by feigsting had nothing to do with nursing work."


    The director of respiratory department standing at the door listened to what Wu Mian said, walked in carefully and asked, "Hello, Miss Wu."


    "Oh." Wu Mian was too lazy to answer him and smiled.


    "What did you say about the non spontaneous rupture of spleen?" the director of respiratory department looked at Wu Mian and asked.


    "With the deeper understanding of non-traumatic splenic rupture, Orloff and Peskin put forward four criteria for diagnosis in 1958: the patient has no history of trauma, no adhesion outside the injury focus, suggesting the existence of previous injury, no other diseases involving the spleen, and the specimen is normal under the microscope and generally."


    "In 1958, the standard concept was put forward. You didn''t learn it in school." Wu Mian looked at the director of respiratory department and asked.


    "Mr. Wu, I do know about non-traumatic spleen rupture, but the drugs we use are commonly used clinically, and the patient itself..."


    Wu Mian directly interrupted him and said, "feigeristine is a recombinant human granulocyte colony stimulating factor, which is commonly used in hematopoietic stem cell mobilization, chronic severe granulocytopenia and bone marrow suppression after chemotherapy."


    "In pre marketing clinical studies, it was also observed that it can cause mild splenomegaly in most healthy subjects, but this change is reversible and 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 proposed that figeristine might lead to spontaneous spleen rupture, but the FDA passed the clinical approval of this drug."


    "Over the years, we have been looking for similar medical records. A total of 23 similar patients have been found in Europe and the United States, not too many in China. This is the first case."


    The middle-aged man of Amgen company was sad, but he didn''t dare to say a word.


    The director of the respiratory department of the second hospital of Medical University was stunned. Are there problems with the instructions of imported drugs? Impossible!


    "Five years ago, Dr. Anthony suggested that figeristine add a sentence to the manual." Wu Mian continued, "there are also reports of splenic rupture in healthy subjects with doses of 10 and 20 μ GKg. Although splenic rupture caused by recombinant human granulocyte colony-stimulating factor is very rare, and there is no evidence that the characteristics of patients can increase their risk, clinicians still need to pay attention to this possibility when taking drugs. "


    Wu Mian only explained a few words to the director of the respiratory department of the second hospital of Medical University, and looked at the manager of Amgen company, "you solve this problem first, and then talk about the instructions."


    "Mr. Wu, raise your hand."


    "You''re not good enough to tell me about it." Wu Mian smiled and said.