Seeing director Xu''s expression, Wu Mian''s face was covered with frost. The sword eyebrow was slightly raised and glanced sideways at director Xu. No words are better than a thousand words.
Director Xu Shanshan said, "Miss Wu, do you look at the eye patient first?"
Wu Mian nodded, calmly and silently walked to the dressing room.
"After taking the medicine, the patient''s heart rate dropped a little, but the situation was very bad." director Xu said about the patient''s situation.
"I see." Wu Mian quickly changed his clothes, put on his hat and mask and went to the operating room.
Before entering the operating room, I heard the alarm sound of the monitor and ventilator. Although there is no special hurry, the voice is sharp and makes people panic.
Wu Mian kicked open the airtight door of the operating room and went in. (note)
"Wu... Teacher, here you are." seeing Wu Mian coming in, Fang Jinshui bowed down and said.
"HMM." Wu Mian answered and scanned his eyes over the monitor, ventilator and micro pump.
The patient''s heart rate was 163 beats and minutes, and the state was not good.
"What is the patient''s main complaint before operation?" Wu Mian asked in a deep voice.
"He complained of repeated chest tightness, chest pain, shortness of breath and found heart murmur. He was hospitalized in February." Yizhu immediately began to report his medical history.
"Are you a doctor?"
"Miss Wu, I received the patient." Yizhu nodded.
"Are there any other exceptions?"
"..." the doctor was stunned. He immediately recalled the whole process and finally said with certainty, "Mr. Wu, No."
"Check one armour skill and three items, and make an urgent check." Wu Mian said.
In Wu Mian''s imagination, after he finished, a nurse or an anesthesiologist''s assistant should immediately open the tee of the arterial catheter and draw a few milliliters of fresh blood for examination.
But the atmosphere in the operating room was inexplicably embarrassing. The doctor ordered, but no one moved.
Normally, at this time, the operating room should move like a machine, the motor roars, and make every effort for the success of the operation.
But at this moment, the atmosphere in the operating room is strange, and the machine has rusted.
"Hmm?" Wu Mian narrowed his eyes.
"Miss Wu... Are you sure?" Fang Jinshui asked.
Sure? This question is so absurd that it doesn''t look like what a doctor can ask. Is there anything certain in the medical process?
Wu Mian looked at Fang Jinshui with dissatisfaction.
Fang Jinshui could feel Wu Mian''s unhappiness. He sighed and said, "Mr. Wu, I haven''t publicized seeing a doctor recently."
Wu Mian raised his eyebrows.
"The notice issued by the medical department, in addition to requiring that no one be taken to see a doctor, there are some others. One of them is to reduce the examination as much as possible. Some exclusive examinations before cardiothoracic surgery have been reduced. If the three items of a skill are examined, there must be consultation with relevant departments. This is not enough, but also the examination and approval of the medical department."
"Nonsense!" Wu Mian said in a deep voice.
"Mr. Wu, what are you thinking about?" Fang Jinshui said bluntly. "The patient is only 30 years old. We discussed it during the operation. It may be a problem of vagus nerve."
"No," said Wu Mian decisively. He glanced at Fang Jinshui. "Director Fang, take blood and send it for examination."
"..." Fang Jinshui said helplessly, "Mr. Wu, the medical department has repeatedly stressed that if there is no consultation with relevant departments, who needs to wait for three months for more examination. Several doctors have been waiting for work and admonished and talked at the medical department."
Wu Mian took a deep breath and really wanted to kick Fang Jinshui to the wall.
But he resisted the attack and said, "go and apply with the medical department. I''ll ask the patient''s family and confirm the medical history."
Fang Jinshui immediately breathed a sigh of relief. He hurriedly said, "Miss Wu, I''m really sorry. I''ll go to the glandular department for consultation now. You consider... "
"Thyroid crisis," said Wu Mian.
"..." everyone in the operating room looked at Wu Mian in surprise. Thyroid crisis? How did Mr. Wu diagnose it?
"The patient''s family is outside."
"Yes."
"I''ll ask," said Wu Mian, taking a step forward. Seeing that cardiopulmonary bypass has been established, he said, "let''s continue the operation. It''s not about anesthesia and cardiopulmonary bypass."
With that, Wu Mian turned and left the operation room.
Fang Jinshui followed Wu Mian and asked, "Miss Wu, thyroid crisis... What do you think?"
"I''ll ask the patient''s family," Wu Mian said. "Many details the patient''s family will not take the initiative to say. The patient has no neck mass and exophthalmos before operation, only clinical manifestations such as weight loss and rapid heart rate, which are easy to be covered up by the condition of heart disease."
Fang Jinshui carefully recalled Wu Mian''s words, but he didn''t believe them very much.
If it weren''t for Wu Mian who said this, and if it weren''t for diagnostics compiled by him, Fang Jinshui would certainly scoff.
"Go and check the three items of Jiagong," said Wu Mian.
"OK." director Fang and director Xu of Anesthesiology Department said at the same time. They followed Wu Mian closely.
The patient suddenly had an abnormal condition during the operation, and the heart rate reached about 180 beats. Even if you have used symptomatic drugs, you can''t reduce your heart rate. The final conclusion of postoperative consultation is vagus nerve dysfunction, but no one can tell exactly how it came from.
However, when Mr. Wu came, he denied the diagnosis and said it was a fatal thyroid crisis.