\(P=\left(\frac{2\sqrt{x}}{\sqrt{x}+3}+\frac{\sqrt{x}}{\sqrt{x}-3}+\frac{3x+3}{x-9}\right)\left(\frac{2\sqrt{x}-2}{\sqrt{x}-3}-1\right)\)
\(P=\left[\frac{2\sqrt{x}\left(\sqrt{x}-3\right)}{x-9}+\frac{\sqrt{x}\left(\sqrt{x}+3\right)}{x-9}+\frac{3x+3}{x-9}\right]\) \(\left[\frac{2\sqrt{x}-2-\sqrt{x}+3}{\sqrt{x}-3}\right]\)
\(P=\frac{2x-6\sqrt{x}+x+3\sqrt{x}+3x+3}{x-9}.\frac{\sqrt{x}+1}{\sqrt{x}-3}\)
\(P=\frac{6x-3\sqrt{x}+3}{x-9}.\frac{\sqrt{x}+1}{\sqrt{x}-3}\)