"There''s nothing particularly abnormal. It''s just that she has difficulty breathing, and it''s getting heavier and heavier. She can''t sleep well at night. She was suffocated when she fell asleep. I took her to see it twice, and the doctor said there was no problem with her lungs and trachea." Liu Xiaomei''s father was calm, he said.


    "Anything else."


    "..." Liu Xiaomei''s mother anxiously pulled Wu Mian''s clothes, tears already overflowing in her eyes, "doctor, is Xiaomei okay, how is she?"


    Wu Mian also knows that it is difficult for him to ask the patient''s family members about the situation during this period, so the scruples about any inductive problems are not in his consideration at all.


    "Let''s say, has sun Xiaomei lost much weight recently?" Wu Mian asked directly.


    "How do you know? She''s been very thin recently." Sun Xiaomei''s mother said, "she lost 20 kilograms in less than two months. I heard Xiaomei say that it''s good to be sick, at least don''t worry about losing weight."


    "What about temper?"


    "Xiaomei has always had a good temper and hasn''t changed much."


    Wu Mian nodded and said, "OK, I''ll go back first. Wait a minute. The operation will be over in about three hours."


    With that, he entered the operating room without looking back, leaving the patient''s family members with a confused face.


    Entering the operating room, I met Matthew who had just changed his clothes.


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


    "Well," said Wu Mian, "otherwise, there is no way to explain the sudden sudden weight loss and the increase of operation center rate."


    "But does thyroid crisis happen in patients with hyperthyroidism who have not been treated or treated adequately? Often caused by stress such as infection, trauma, surgery, diabetic ketoacidosis, labor," Fang Jinshui asked.


    "This is only one aspect," Wu Mian replied. "Under stress, a large amount of thyroxine in patients with hyperthyroidism is released into the blood, resulting in rapid 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."


    "In the process of diagnosis, it should be distinguished from malignant hyperthermia, pheochromocytoma, allergic reaction, brain injury and neuropathic malignant syndrome. The occurrence of heart failure and shock often indicates the critical condition. Now the patient''s situation is not allergy, but thyroid crisis."


    "..." both directors were stunned. Before the intraoperative consultation, the diagnosis of intractable anaphylactic shock was easily overturned?


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


    "OK," director Xu said immediately.


    There''s no other way at this time. It''s just an inspection. If you want to do it, do it first.


    Fang Jinshui frowned. "Teacher Wu, I went back to criticize the bed doctor. How did I ask about my medical history? I didn''t ask about being thin!"


    "It''s also very normal." Wu Mian said, "the physical function of women around the age of 30 has passed the peak period. Most people are no longer dry and fat, so they have all kinds of weight loss methods. It''s not cancer. It''s normal to ask the medical history to ignore this. The key is why they don''t check the three items of nail skill before operation?"


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


    The two directors only sighed.


    Wu Mian didn''t embarrass them and went straight back to the operating room.


    "Director Xu, why are there so many regulations now?" Matthew whispered after him.


    "Isn''t this a recent activity of not asking for people to see a doctor? Director Han made a lot of regulations under not asking for people to see a doctor. He tried to do less examination and save every penny for patients." director Xu was also very helpless. He sighed deeply.


    Understand everything, don''t understand... There are no people present who don''t understand.


    "A few days ago, director Han brought people to check everyone''s medical advice. At that time, he asked a lot about the operation. Jiagong Sanxiang... In the words of director Han, it was over medical treatment and could not be checked before operation. He also scolded a lot of ugly words and said that we had increased the burden on patients."


    What else can''t be checked? Matthew was choked up.


    It has only been more than a month since I left with Dean Xue. How can I become so dilapidated.


    "Some rare urgent investigation items need to be applied by the medical department. The laboratory department is short of personnel, so the relevant personnel are transferred to other posts." Fang Jinshui continued to nag.


    "Have you contacted?"


    "Find the medical department to communicate, but there is no result."


    Matthew looked at Wu Mian''s back. He could feel Wu Mian''s muscles tight and seemed very angry. Thinking of the last patient''s spontaneous spleen rupture, Mr. Wu rubbed Han Guangyun''s head against the wall... Matthew immediately straightened out what he wanted to do.


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


    Secondly, we should appease Mr. Wu and don''t go wild.


    "Director Xu, you go and have a look. As a result, you must hurry up to get out." Matthew told him.


    The director of the University of Anesthesiology personally coordinated this matter. If director Ma was still there two months ago, there would be no problem. As soon as the results are produced, symptomatic treatment will begin on the operating table.


    But now the regulations bind the clinician''s orders one by one. The machine has rusted, and director Xu has no bottom in his heart.


    While walking, director Xu took out his mobile phone.


    "Director Han, I''d like to report something to you." director Xu said cautiously. "We need to check the thyroid function urgently. Please ask the medical department for approval."


    "Director Xu, there are specific personnel responsible for this. You submit your application as long as the information is complete and there is consultation with relevant departments. I work on site and am very busy," director Han said.


    "Director Han, the patient is considering thyroid crisis. Intraoperative examination is fatal!" director Xu said loudly with his mobile phone.


    "Isn''t it a patient with rheumatic heart disease? Director Fang called me just now. What''s the matter with you!" Han Guangyun said sternly, "rheumatic heart disease? You don''t know what rheumatic heart disease is because you think I''m an amateur? Rheumatic heart disease, you have to check thyroid function. Are you such a doctor!"


    "...." director Xu was speechless. Do you want to tell him from the beginning?


    "Nonsense! If you don''t check before the operation, you will force the Palace during the operation, isn''t it? The document issued by the medical department was approved by President Haihua, in order to reduce the burden on patients and provide better service..."


    Director Xu has long been familiar with the following words. Recently, the spirit issued at each hospital week meeting is the same vocabulary and has been memorized. Director Xu complained that if the medical department disagreed, the inspection results would not come out at all.