3 No future without learning
The boy lying on the flat car seemed to have a little convex eyes, but this alone didn't mean anything. What happened to the natural big eyes?! Section Chief Duan thought subconsciously.
As for the thyroid gland... Chief Duan's eyes almost slit, and he could barely see a little swollen. This can diagnose hyperthyroidism? Just kidding.
Young people are young people, without any steady energy, Section Chief Duan muttered in his heart.
"Prepare a micro pump and pump it in after the results are returned..."
Halfway through Wu Mian's words, the nurse said embarrassedly, "That... our hospital does not have a micro pump."
"..." Wu Mian held his forehead and started to go to the hospital for internships since he went to college. He went back from the United States and had always pumped potassium in a micro pump. He didn't have to think about how much it should be pumped in. He could say it with his mouth open, and it had become an instinct in his bones.
But this is Bajingzi Traditional Chinese Medicine Hospital, and there is not even a micro pump. If it is given to the peripheral vein, it will be quite difficult to calculate.
The stimulation of potassium chloride on peripheral blood vessels, how many milliliters a drop of liquid is equivalent to, the model of the infusion device, the concentration of potassium supplementation, the patient's physical condition, etc. must be taken into account.
"It's okay." Wu Mian said, "Wait for a while."
"Then what?"
"I'll teach you how to do it." After Wu Mian said, he turned to look at Wei Dabao, "Doctor Wei, please doc Wei."
"Uh, I am." Wei Dabao replied in a daze.
"Tell me and arrange for the child to have an electrocardiogram, and then..." Wu Mian glanced at Section Chief Duan.
"Xiao Wu, do you want to be a quieter place?" Section Chief Duan asked.
Although Wu Mian was wearing sunglasses and couldn't even see her eyes, Section Chief Duan still accurately touched him and looked at him.
Wu Mian nodded.
“Ticket room.”
"good."
Section Chief Duan was a little worried. Is he going to kill the powerful stick? Xiao Wu is still young, so he didn't know that the intrigues in grassroots hospitals are no less than those in the superior hospitals, and to some extent it is even more complicated.
The key is that big cities are basically scheming, wearing small shoes, and whoever gets angry in grassroots hospitals is really daring to hit people.
Without saying anything else, just talking about Wei Dabao in front of him, why did he turn a blind eye and pretend not to see him?
There is a reason for that.
Wu Mian wanted to show off the posture of the head of the medical department and scold Wei Dabao... She didn't care whether Xiao Wu would make a mistake or not, just wanted to stop placing herself.
Section Chief Duan led Wu Mian to the duty room. Seeing Dr. Wei Dabao arranged for the patient to do an electrocardiogram, he thought of the interests and thought it through in a clear voice, and whispered, "Xiao Wu, our grassroots hospital..."
"Section Chief Duan, sit down." Wu Mian stood in the duty room, only glanced at the mess of bedding, and saw that the patient was being picked up and not having time to clean up. He stood by the window and said coldly, "I will only know after seeing the electrocardiogram."
Section Chief Duan frowned and thought to himself that you still knew that you would have to see the electrocardiogram before you knew it? He was not as reckless as he had made a judgment.
But seeing that Wu Mian didn't want to say much, Section Chief Duan sighed and immediately began to introduce him to the emergency department.
Unlike large tertiary hospitals, the emergency department of Bajingzi Traditional Chinese Medicine Hospital is not well equipped. Not only does it have micro pumps, but it is even incomplete.
For example, there are no surgeons in the emergency department, only internal medicine doctors. If you encounter a trauma patient, call the surgeon on duty to deal with it.
Grassroots hospitals are simple and simple, and everyone knows everything, including patients.
Soon, Dr. Wei Dabao walked in with the newly printed electrocardiogram. Wu Mian didn't answer it and asked, "Doctor Wei, in which year did you graduate from which medical school?"
After hearing Wu Mian's question, Section Chief Duan's heart suddenly became thrust.
This is the rhythm of fighting, simple and straightforward, without any concealment. Although there is no direct greeting to other people's parents, from the perspective of a doctor, questioning the graduating school is equivalent to pointing at the nose and saying that you have not studied hard in school and are not doing your job properly.
"Betune graduated." Wei Dabao said.
"Um?"
Wu Mian made a sound with her nose. Although she was wearing sunglasses, Wei Dabao still had an "illusion" with a sharp look like a knife, and he poked his heart.
He quickly explained, "20 years ago, correspondence courses, undergraduates."
After explaining, Wei Dabao felt strange. Why did the strange young man in front of him always feel like he couldn't raise his head? It was like being scolded by his master when he was lazy.
"Compliance courses are also recognized by the state!" Wei Dabao then tried hard to refute.
"Well, it's already very good to have a correspondence degree." Wu Mian said, "Can you see the electrocardiogram?"
“…”
Hearing Wu Mian's words, Section Chief Duan and Wei Dabao were both stunned. The tone of this speaking was Minghuanghuang's department director talking to his doctors.
He is a newcomer, how dare he speak like this!
The key is that this guy didn’t even look at the electrocardiogram. He was pretending to be cool just wearing sunglasses, so how dare he say that?
"What does it mean to increase the U wave by more than 1MM, merge with the T wave to form a double-peak T wave?" Wu Mian was like a teacher, and her tone was not very strict, but it sounded so harsh in the ears of Section Chief Duan and Wei Dabao.
"We are doctors, not ordinary people. All the people have been liberated for many years. How can we still believe this superstition? It's okay to believe it. The key is that you are a doctor and do not conduct scientific treatment, but exorcise evil to patients."
"This is nothing. If you delay it, no matter whether your family will pursue it. Will you feel guilty when you think of this when you are old?"
"Learn more if you have nothing to do, and you don't have any future if you don't learn or be ignorant."
Wu Mian, who was still taciturn just now, kept scolding him.
"Xiao Wu, why don't you take a look at the electrocardiogram?" Section Chief Duan said.
"When Dr. Wei entered the door, I saw it. The initial consideration was that it was an abnormal electrocardiogram caused by hypokalemia. The cause of hypokalemia is highly suspected to be a complication of hyperthyroidism. The so-called ghost pressing bed is a limb weakness caused by hyperthyroidism periodic paralysis."
"As for differential diagnosis - such as acute polyradiculitis, multiple myositis, and secondary hypokalemia paralysis caused by other causes, I won't say much about these."
Section Chief Duan was very unhappy. Wu Mian showed the arbitrary, domineering and domineering young man's arbitrary, domineering and domineering appearance.
But he is talking about his professionalism, not referring to his father and mother, no one can say anything.
"I'll go back first if it's okay." Wu Mian said, "I just came back, but the jet lag was not reversed, and I was a little tired."
After saying that, he walked straight out of the duty room.
"Wu...that, how should the patient be treated?" Wei Dabao asked.
"There is a micro pump. When low potassium attacks, 10% potassium chloride is dissolved into normal saline and pumped intravenously at a speed of 10 mmol/hour. Pay attention to closely monitoring the blood potassium, otherwise high blood potassium will also die."
"Our hospital does not have a micro pump, so we use 1.5g of potassium chloride to add 500ml of sugar or saline to give it intravenously. The speed is not 10 mmol/hour, just give it 80 drops/minute. Young people, don't be afraid. Be careful not to roll the needle because of pain or agitation."
After saying that, when the person walked out of the room, Section Chief Duan vaguely felt that he had hallucinations, and Wu Mian's face seemed a little pale when he left the last time.
It was not until a few minutes after Wu Mian left that Wei Dabao asked, "Duan Ke, who was that person just now?"
Section Chief Duan glanced at Wei Dabao, and when he thought of his appearance in white clothes just now, he felt angry.
"The son of Township Mayor Wu."
"Which Township Mayor Wu?"
"Which one else can it be?"
"that?"
Chapter completed!