"Miss Wu, what''s going on there?" Matthew asked.


    Wu Mian hung up the phone, returned his mobile phone to Matthew, shook his head slightly and said, "Han Guangyun doesn''t do any examination. It''s really a chance to treat a disease? But his strength of practice is really awesome!"


    Matthew could hear the sarcasm in Wu Mian''s tone. He recalled seeing Han Guangyun and the expressions of several directors of the second hospital during the day. He was helpless.


    "Oh, how to say," Matthew sighed deeply.


    "Horse yard, no way." Wu Mian looked out of the window. The night was heavy, like iron.


    "Domestic..."


    "It''s the same abroad," said Wu Mian. "I''m... Give an example."


    Matthew was stunned. Is it the same abroad?


    "I guess director Han has been abroad and learned the foreign diagnosis and treatment process. But that process... Hey! It''s been sprayed with flowers. As long as it''s a clinician, who doesn''t spray them?" Wu Mian knocked on the armrest of the chair with his right hand, as if he was playing the piano, and his fingers beat like an elf.


    "Foreign countries are the same."


    "Good doctor, have you seen the horse yard?"


    "I''ve heard of it. I watched it for 20 minutes. I''m not interested to see the protagonist holding his breast bottle so high. It''s not professional at all. It''s really funny that foreign films are so groovy."


    "The idealized modification of the TV play, dialectical watch." Wu Mian smiled. "In the second episode of the first season, a little girl had a stomachache. Her parents thought that she spent more money and thought that the little girl was avoiding school. Only the protagonist insisted on checking."


    "Stomachache..."


    "Check D2 polymer, lactic acid and amylase. If I were you, there must be more items to check." Wu Mian said faintly. "Later, the protagonist insisted. He went to the patient''s house in the middle of the night and found that the little girl was unconscious."


    "How was the final diagnosis?" Matthew''s interest suddenly came up and asked.


    Wu Mian did not answer. He looked at the sky outside the window and his fingers beat the armrest of the chair faster.


    "High fever is a very common clinical manifestation, but there are some diseases with high fever manifestations. What are the consequences of missing a Kawasaki? You know? If you don''t do cardiac ultrasound, if the coronary motion has expanded and broken, there will be no one at that time. Who is responsible for the accident?"


    “ β Scarlet fever caused by Streptococcus haemolyticus has a certain chance of cross immune reaction in the sequelae period. The antibodies produced by the body will attack the joints, endocardium and glomerular vascular intima. Why should the patient''s urine routine, myocardial enzyme and renal function be rechecked every day? Who is responsible for the accident? "


    "Why is there so much medical examination in the hospital? Won''t the doctor''s conscience hurt?"


    "Why do you need to do a variety of examinations to see a doctor in the hospital? Is it because the current medical level is limited or to generate income?"


    "There are too many such problems. I don''t want to." Wu Mian shook his head. It is obvious that years of habits have made him adapt to the problems that can''t be solved. Don''t think more.


    "Mr. Wu, what do you think of Han?"


    "I don''t know." Wu Mian shook his head.


    "You talk casually, not to diagnose the patient." Matthew smiled. "Mr. Wu, you are too cautious."


    "Ha ha, want to hear?" Wu Mian asked, looking at Matthew''s eyes.


    Matthew was more curious and nodded.


    "Han Guangyun has a faint smell of wine. It is estimated that he has a lot of entertainment. I think so. He is so young and has the full support of President Li..."


    "If we don''t talk about this, we''ll talk about illness." Wu Mian said, "I wanted to say a few more words to Han Chu. A layman commands an expert. What''s the matter? He''s responsible for the accident? He must push three or six or nine times. What doctor doesn''t know how to analyze the specific situation and handle things rigidly.


    When you act and stand, you know that you instigate contradictions and opposites. If something happens, you can morally accuse doctors of not being good enough. "


    Matthew listened quietly.


    "But when I changed my clothes, I saw that he was pale, bent and in a strange position. His right hand touched his abdomen twice, but he took it away every time. It was obvious that he had slight abdominal pain."


    "Pancreatitis?"


    "It''s possible, or it''s gastritis. I need to check it out." Wu Mian said. "I don''t see Han Guangyun''s state now. If it''s really like what I judged, he has entered a ''indifferent'' state, which may be accompanied by septic shock."


    "..." Matthew didn''t expect that Wu Mian''s judgment on Han Guangyun''s condition was so serious.


    "No one can give an accurate diagnosis without even checking the blood routine." Wu Mian said, "the previous rise in blood pressure is considered to be the manifestation of the" autotransfusion state "of systemic blood vessels, especially microvascular spasm in the early stage of shock. With the blood pressure getting lower and lower, Han Guangyun''s situation is becoming more and more dangerous. I remind you, I hope director Li can notice."


    "Er..." Matthew was speechless.


    "Horse yard, you think I''m motivated. Curse director Han."


    "No, no," Matthew sighed, clenched his cell phone and said, "I thought about it a few years ago."


    "A young migrant worker came to the hospital because of fever. The doctor on duty didn''t check blood, happy electrogram or film. He ordered him to go back after prescribing cold medicine. In a few days, the patient died." Matthew said, "the worker and his family came to the hospital to discuss. I received him personally."


    "The doctor on duty is also a second goods. Miss Wu, guess what he told me?"


    "You see, I saved your family hundreds of dollars. 999 colds were estimated right before. This one myocarditis was not estimated. The misdiagnosis rate is not high. You can only count as bad luck," Wu Mian said.


    Mr. Wu is a clinician, and this kind of thinking is also a kind of clinical thinking. He has weighed the pros and cons many times, and he knows what he wants to say. Matthew thought and nodded.


    "If you often walk by the river, you don''t have wet shoes. If you see a doctor like this, you''re really lucky that you don''t die." Wu Mian said, "is it myocarditis or..."


    "It''s myocarditis," Matthew said quickly.


    Wu Mian smiled, looked at Matthew and said, "hurry up and call director Li. I can''t guarantee that Han Guangyun is in shock, but the most basic inspection should be done. We are responsible for giving opinions. Whether to check or not depends on director Li."


    "OK, OK." when Matthew saw Wu Mian''s understanding, he knew he was worried and impolite. He bowed slightly and turned out of the office.


    "Brother, how can I feel wrong?" Chu Zhixi asked.


    "Fortunately, I''m glad I didn''t do other tests." Wu Mian said. "If I checked the renal function and found that there was renal failure, and then I had a headache, the doctor would give diuretics. I''m afraid Han Guangyun can''t do it."


    "You..." Chu Zhixi frowned and said, "this situation is too rare."


    "I just say casually. After pushing a tube of high sugar, there are no people. We met in Massachusetts three years ago."


    "Emmmm..." Chu Zhixi tried to recall.