"Brush!" a row of nurses immediately stood up, put their hands in front of them, and greeted Wu Mian with the etiquette posture on the standard poster.
"There are patients, ready for rescue." Wu Mian said directly without being wordy, "the first doctor suspected that it was aortic dissection."
As soon as the diagnosis was said, the atmosphere in the room immediately became tense.
Those who can come to jianxie hospital are at least nurses who have worked for more than 3 years. Even if they have not received treatment, they have heard of this dangerous disease. Looking at the patient''s good, there may be no one with posture change. Aortic dissection is so severe.
The books had no time to clean up and were neatly placed on the table. Wu Mian looked at the scene in front of him and was a little satisfied.
This is just the beginning. Others have to take their time.
Soon, the 120 ambulance drove to jianxie hospital, and Wei Dabao jumped down in a hurry.
"Section chief Wu!" he shouted as if he saw his relatives. "The patient is still... Alive."
"..." Wu Mian looked at the patient and frowned at Wei Dabao. "What nonsense? What medicine did you give?"
"Sodium nitroprusside," said Trinket breathlessly.
Cai Lili was pushed out of the ambulance. Wu Mian stepped forward, let her lie still, then touched her forehead and opened her eyes. Then she asked Cai Lili some questions and listened to several positions with a stethoscope in the emergency room.
The nurses have been suffocated. First, they haven''t worked for several days, and their hands are itchy. Second, they want to make a good impression on Wu Mian.
After all, there are not many hospitals that look like the jianxie hospital this year. If you miss this village, it will be difficult to find similar hospitals in the future.
"Prepare for hospitalization and do PET-CT," Wu Mian said.
"..." Wei Dabao was stunned.
Several nurses began to implement Doctor Wu Mian''s orders and pushed the patients directly to the circulation department for hospitalization.
"Chief Wu, she has a tumor?" although Wei Dabao has never seen PET-CT, he always knows what PET-CT is for.
In the consciousness of Wei Dabao, PET-CT is the last means to examine tumors. In the provincial capital, PET-CT checks 9600 once. It is said that medical insurance only reimburses half, and the old nose is expensive.
This thing is too expensive. People in bajingzi seldom do similar tests. Wei Dabao has only heard of it. I haven''t seen the PET-CT examination report.
"Let''s go and have a look," said Wu Mian, glancing at trinket and asking, "are you all right today?"
"..." Wei Dabao was stunned, but the opportunity should not be missed. He immediately bowed down and said, "section chief Wu, I''ll find someone to replace me without delaying my normal work. If it''s a big deal, I''ll just pay back more."
Wu Mian nodded and didn''t explain too much to Wei Dabao. He followed the flat car to the circulation department.
"Director Gao, the patient is considering Takayasu arteritis and is ready to do PET-CT." Wu Mian explained to Gao Baixiang after meeting.
"OK." Gao Baixiang answered directly. Although Takayasu arteritis is not a disease in the Department of circulatory medicine, more hospitals treat Takayasu arteritis in the Department of Rheumatology and immunology.
However, the jianxie hospital has just been established. Mr. Wu doesn''t have many resources on hand. It''s understandable to put it here.
"Dr. Wei." Wu Mian sat down in the office, smiled at Wei Dabao and asked, "how did you diagnose aortic dissection?"
"Bilateral blood pressure measurements are inconsistent, and the numbers are too different," said Wei Dabao without hesitation.
"Keep talking." Wu Mian looked at Wei Dabao with great interest.
"The vascular gap between the left and right upper limbs of normal people is less than 10 mm Hg, possibly between 10 and 20 mm Hg, but most patients will not exceed 20 mm Hg."
"If the gap is too large, it may be that the old patients have severe stenosis or occlusion of the subclavian artery at the corresponding part due to long-term arteriosclerosis or patients with arteritis. If there is severe stenosis, the blood pressure of the upper limb on this side may be low..."
"Well, it''s good. Have you checked other materials besides the tenth edition of diagnostics?" Wu Mian asked.
"Chief Wu, some of the descriptions in diagnostics are too general to understand." Wei Dabao said bitterly, "I can only look up the information a little bit. I''ve been dazzled for more than a month."
"That''s the part of clinical experience. I''ve laid a good foundation. I''ve been fighting for ten years in clinical practice. With snacks, I''m naturally an old doctor." Wu Mian said with a smile, ignoring the fact that Wei Dabao said he had lost his eyes.
Ten years... He didn''t have ten years. Wei Dabao was a little depressed.
"Not bad, let''s say. Have you noticed what I did just now?" Wu Mian asked.
"You..." Wei Dabao was stunned and immediately remembered the disinfection incident in the emergency department of bajingzi traditional Chinese medicine hospital not long ago. That time, Mr. Wu looked at the patient''s mouth... And this time
Wei Dabao tried to recall Wu Mian''s actions just now. It seems nothing special. It''s just a simple check. It''s not professional at all. At least in the view of Wei Dabao, Wu''s actions were too sloppy and careless.
"You first took a look at the patient''s eyes," Wei Dabao recalled. "Then you had a auscultation."
"Why do I look into my eyes?"
"..." Wei Dabao looked sad.
"My first action is to touch the patient''s forehead." Wu Mian said, "for aortic dissection, most patients will have unbearable tear like pain, and the patients sent do not have it, which is not the main disease to be considered. But you can consider here and know that it''s really good to call me."
Listening to Wu''s praise, Wei Dabao was inspired.
"Chief Wu, why did you touch her forehead?"
"You happened to send a newly ill patient, which was not misdiagnosed or treated as depression." Wu Mian said, "generally speaking, the left and right blood pressure without any symptoms is inconsistent. It should be considered that it is multiple Takayasu arteritis, arterial occlusion and aortic dissection. But the patient''s self complaint symptoms..."
Wu Mian said this and smiled. Wei Dabao felt that chief Wu had no good intentions.
"That''s all for explanation. Go back and read the rest," said Wu Mian.
"Oh."
"Generally speaking, patients with Takayasu arteritis will be misdiagnosed as unexplained fever and depression. You can happen to see the problem and make great progress." Wu Mian said happily, "Dr. Wei, continue to work hard."
Trinket took a deep breath and felt himself glowing.
"If you don''t hurry back, follow director Gao to see the patient''s diagnosis and treatment process and remember it later."
Then Wu Mian stood up and turned to run away.
"Chief Wu, why are you going?" asked trinket.
"I still have something on my side," said Wu Mian. "The inspection will take a long time. You follow. When all the inspection results come out, you can see how to report the situation to me."
With that, Wu Mian strode out of the circulation department.
Wei Dabao was confused. What''s this? Leave yourself in the sword association hospital? O