"Wu... How did Wu Mian come?" Han Guangyun asked in a low voice.


    "Director Han, director Fang and I are worried that the patient can''t get off the stage and the rescue medicine has given a lot of shock, so we have to ask Mr. Wu to have a look," director Xu said.


    When Wu Mian heard the voice, he knew that Han Guangyun was coming, but he didn''t look back. It was like he didn''t know someone came in. He continued, "keep your hand steady, and the stitch distance of the third needle is slightly larger. Pay attention to the location of the stripped calcified plaque, otherwise it is easy to bleed after the operation, resulting in a second thoracotomy."


    Between being scolded and being directly ignored, Han Guangyun would rather be scolded.


    Ignoring means silent contempt and contempt to the bone.


    Seeing Wu Mian''s attitude, Han Guangyun''s anger rose, and new hatred and old hatred poured into his heart.


    "Has the medical department approved it?" Han Guangyun said in a deep voice, "anyone can enter the operating room?!"


    His voice was not big or small. It sounded like a whisper, but Han Guangyun and Wu Mian were sure that they could hear him.


    Director Xu was silent and looked at Han Guangyun meaningfully without saying a word.


    "Oh, the official''s authority is really great." Wu Mian looked back and didn''t look at Han Guangyun, but looked directly at director Xu. "If foreign medical personnel carry out invasive operation and participate in consultation, they need to be filed by the medical department and approved by the hospital."


    Han Guangyun was stunned.


    "I''m here to visit and study." Wu Mian said with a smile. "The newly established hospital should learn from the advanced experience of the brother hospital and go back to better serve the people. What''s the matter? Director Han has an opinion? Or does the communication between the brother hospitals have to go through the procedures of the science and education department."


    Facing Wu Mian who was lying with his eyes open, Han Guangyun was speechless for a moment.


    Brother Hospital... MB, do you know it''s a brother hospital? The corner of the second courtyard is almost cut off! A wall that was once indestructible is now crumbling. It''s all caused by the sword association hospital and your teacher Wu Mian.


    Han Guangyun was unhappy, but he dared not say anything. He knew the value of Wu Mian''s force. And they beat themselves up and have enough strength to deal with it... If they knew he was there, they would not come.


    Xu Caizhi, an old man who never dies, even overcame himself! Han Guangyun glared at director Xu angrily.


    "Slow down, don''t worry, especially pay attention to the pin spacing. Aortic valve replacement is not difficult, it''s best to take the key steps."


    "Intravenous esmolol 20mg, intravenous injection."


    "Cymbidium, give half, 0.2mg."


    Verapamil 2.5mg and amiodarone 10 μ g·kg-1·min-1。”


    "Urge me to check the results of the three items of Jiagong."


    After Wu Mian met Han Guangyun, he stood in the operating room to direct the rescue. The operation process is only occasionally mentioned on the key points, with no special attention.


    For Wu Mian, the difficulty of heart surgery is just like that. The second hospital of medical university can complete it. He doesn''t have to brush his hands on the stage.


    The doctors and nurses in the operating room are busy with their own affairs with their heads down. In this case, if they look up at director Han, they are afraid that he will be more embarrassed. Although director Han doesn''t say anything now, he can''t stand his revenge in the future.


    Han Guangyun is also very uncomfortable. Wu Mian simply doesn''t take himself as a dish. The front foot of the goods just finished visiting and studying, and then directly commanded the rescue


    The alarm of the monitor continued, and the patient''s vital signs were not stable, but the whole operation was completed little by little under the command of Wu Mian.


    "Miss Wu, the inspection results are back." director Xu answered a phone call and later came to Wu Mian and said.


    “T3：12.2，T4：584.1，FT3：54.52，FT4：84.2，TSH：0.22.”


    Director Xu took his cell phone and quickly read the above values.


    Total serum T3 and T4; Free T3 and T4 were several times higher than the normal value, and TSH was lower than the normal value. Whether it''s a thyroid crisis or not, this test report is abnormal.


    "Propylthiouracil 600mg and propranolol 10mg were injected through gastric tube."


    Director Xu was glad. Fortunately, Mr. Wu Mian asked him to prepare the medicine dozens of minutes ago. Otherwise, propylthiouracil, a drug that can''t be used in the operating room for eight generations, can''t be used at the first time.


    "60 minutes after propylthiouracil was injected into the gastric tube, 1.0g sodium iodide was added to 500ml of 5% glucose saline and slowly intravenously drip for 12 hours."


    "Propranolol, 3mg, added to 250ml of 5% glucose saline, is slowly extracted and injected intravenously." Wu Mian said continuously, "you know how to stop propranolol."


    "I know." director Xu turned into a small anesthesiologist, holding A4 paper in his hand, wrote down what Wu Mian said, and dared not omit a word. "Pay close attention to the changes of heart rate and blood pressure. Once the crisis is relieved, switch to conventional dose, I know, I know."


    "HMM." Wu Mian nodded.


    "First give a branch of hydrocortisone, and then add 100mg of 5% glucose saline 500m1 for intravenous drip."


    "Send them to ICU after operation to prevent infection with antibiotics. Also, pay attention to check liver and kidney function. Some patients will be complicated with multiple organ failure after thyroid crisis."


    With that, Wu Mian glanced at Fang Jinshui and asked, "director Fang, should the preventive use of antibiotics also be approved? Or is it not allowed at all?"


    "Not now." Fang Jinshui didn''t dare to look at Han Guangyun and said the truth.


    "When you consult with the clinical pharmacy group, you must use antibiotics in advance. High-level, high-dose, if you don''t let me call." Wu Mian didn''t look at Han Guangyun and directly told Fang Jinshui.


    "..." Han Guangyun listened to Wu Mian''s words, feeling a little confused and angry.


    The value of the test report just now... He can''t understand any of it. Although I can''t understand it, I can see from the expressions of Wu Mian, Fang Jinshui and Xu Caizhi that there is a real problem in the test.


    How can a heart operation be complicated with thyroid problems! Han Guangyun held down countless questions at the bottom of his heart, bowed his head and said nothing.


    I had to swallow all the cruel words I said to Director Xu before I came in.


    Although the guy "arrogantly" said he wouldn''t let drugs call him, who did he think he was?! Dean? Or the medical director! Or... Han Guangyun''s chest is stuffy and his stomach ache is a little more serious.


    Wu Mian did not look at Han Guangyun. After explaining the doctor''s orders one by one, the anesthesiologists and nurses in the operating room began to implement them. Ren Haitao followed him and carefully looked at the manufacturer and production date of each drug.


    After drug injection, the patient''s vital signs remained unchanged. The high pressure is still about 75mmhg, the heart rate is about 160 beats and minutes, the alarm sound of the monitor is constant, and the sound of didi is disturbing.


    But Wu Mian''s momentum was much milder. Matthew could obviously feel that Mr. Wu was relaxed.


    "Miss Wu, when will the medicine take effect?" Matthew whispered.


    "After going down," said Wu Mian, "it will always be like this during the operation. But it''s all right. If propylthiouracil and sodium iodide are given in, people should be all right."