Sleepless Doctor

"The doctor has no sleep(

"Xiao Wu, something happened?" Section Chief Duan understood that there was a problem when he heard just a few words, and it was not small from Wu Mian's appearance.

"There was an accident in the sophomore year of medical school." Wu Mian said, "section Chief Duan, I won't say much, I'll go take a look."

"You are busy, you are busy."

Wu Mian strode out of the office, already dialing the phone in his hand.

"Old Ren, contact the Horse Academy and go to the second stage of the medical college for a consultation." Wu Mian said.

Seeing Wu Mian in a hurry, Section Chief Duan had no time to dry the water stains on his pants, and hurriedly followed out of the office.

Called a ticket to go to the sophomore year... Section Chief Duan couldn't even think of this kind of thing. Is this going to hit the place?

Wu Mian came downstairs, and Matthew De was already waiting at the door. He saw Wu Mian coming down and said, "Mr. Wu, the sophomore doctor habitually calls me..."

"It's okay, talk about the specific situation." Wu Mian asked.

"I asked them to send electronic medical records, but it hasn't arrived yet." Matthew De said, "I only know that it is a patient with rheumatic heart disease who is undergoing mitral valve and aortic valve replacement surgery."

Wu Mian was silent and had no information. It was impossible to judge the situation just by knowing what disease was.

The two got into the car, and Ren Haitao hurried over carrying a box.

"Old Ren, you need to exercise." Wu Mian said, "Is there a bronchoscope in the box?"

"Well, there are various models. There are some other equipment. I'm afraid you will need to use it temporarily and you won't find a suitable one." Ren Haitao said, "Ms. Wu, what patient?"

"I don't know yet, I will send a test report later." Wu Mian said.

Matthew De gave the mobile phone to Wu Mian and drove straight to the Second Hospital of Medical University.

"Mayuan, you, the medical director, did a good job, and I will call you when he leaves." Wu Mian said jokingly.

"Oh, Mr. Wu, you have also seen the virtues of the new head of the medical department, Han, who can manage well." Matthew sighed and said, "It was not a patient in our hospital, nor was it an invitation from the hospital. I This identity is still special, and I really don't want to worry about this nosy. But Director Xu of the Anesthesiology Department called, screaming, and it is estimated that the situation is not right."

If there is an emergency during the normal operation, the doctor will generally notify the medical department while emergency rescue, by the way, use his own contacts to find a higher-level doctor to help solve it.

There is no need to think about things like fixed-point practice. You need to follow your powers urgently, and saving Taiwan is like fighting fire. There has never been a similar incident. After all, someone was invited to rescue the Taiwan. Even if the operation failed, it wouldn't be a scapegoat in the end.

But this kind of thing is particularly troublesome right now, as Matthew De said, he is not a doctor but the former medical director.

The iron-fighted battalion and running-water soldiers have all left, and they go back to arrogantly, and they are really prone to accidents.

But no matter what the trouble is, it is more important than saving Taiwan. That is human life!

While driving under the speed limit, Matthew was wondering what to do after going there to get things done without causing trouble as much as possible. Fortunately, with Teacher Wu, I can still feel a little in my heart.

Soon, Matthew De's mobile phone vibrated, and Wu Mian directly clicked on WeChat.

"Mayuan, there is nothing I can't watch." Wu Mian asked.

"Hey, Mr. Wu, you look at me very highly." Matthew De said, "I don't have that kind of heart for such a bad old man."

Wu Mian didn't continue to laugh, clicked on the test sheet and glanced at it, and then looked at the next sheet. Fingers flew fast, every picture didn't seem to even pause, and Ren Haitao behind him was dazzled.

After reading more than a dozen laboratory test sheets and brief medical profiles, Wu Mian frowned.

"Teacher Wu, let me take a look?" Ren Haitao asked in a low voice.

"Yeah." Wu Mian asked him, passing the phone to him, "Ma Yuan, the preoperative examination is incomplete."

"Isn't this the recent activity of the Second Hospital to solve problems for patients? The first decree of Director Han is to resolutely put an end to the random issuance of laboratory test orders." Matthew De said.

"Isn't this a joke?" Wu Mian said, "just do the most basic inspection? Whose is the accident?"

"It must be the clinician. Director Han has already cleared away the responsibilities. Otherwise, Director Xu would not come to me. You didn't hear, Director Xu's voice was a little trembling."

"Have you any luck? Even if you encounter it, it's unlucky." Wu Mian said, "How can there be such a management of the hospital."

"Mr. Wu, what do you think is the situation?" Matthew De asked.

"Hurry up, go and see." Wu Mian frowned and said, "The situation is not good now. Just as the aorta is opened, the heart rate is 180 beats."

"Why don't that side stop the operation first?"

"I want to think about it." Wu Mian groaned, tapping the window of the co-pilot with the finger of his right hand, and then picked up the phone.

"Director Xu, me, Wu Mian."

"Mr. Wu, hello, hello, I really trouble you too much." Director Xu said politely.

"Is it convenient? Now which step has been done in the operation, let's briefly talk about the situation."

"Female, 30 years old, 55kg. She was admitted to the hospital for 2 months due to repeated chest tightness, chest pain, shortness of breath and a heart murmur. After admission, cardiac color Doppler ultrasound suggested: rheumatic heart disease, moderate mitral stenosis, mild mitral regurgitation, and moderate mitral regurgitation. Aortic valve insufficiency; ECG prompts: large atrial fibrillation, the ventricular rate is 100 to 120 minutes."

"After the aortic incision cardiopulmonary bypass is operated, when the body temperature drops to 30℃~www.wuxiaspot.com~ the ascending aorta is blocked, cold cardioplegia is infused, and the heart watch is cooled. The heart rate at the time of entry is 95 to 115 times Min, atrial fibrillation. After induction of intubation, the heart rate slowed to 90 min."

"When the aorta was cut, the patient's heart rate suddenly increased, fluctuating between 170-180 minutes."

"How to deal with it?" Wu Mian asked.

"Esmolol 20mg and Cedilan 0.6mg intravenously, but the effect is not ideal." Director Xu said, "Because the patient is relatively young, there should not be such a big reaction, we don't know what to do next."

"I see, wait for me to see the situation." Wu Mian said.

"Ms. Wu, that... surgery..."

"Maintain vital signs first. I will be there in about 30 minutes." Wu Mian said, "If the heart failure is not obvious, you can... Forget it, wait until I go."

After hanging up the phone, Wu Mian kept his face calm and said nothing.

He twisted the phone, no obvious movement of his fingers, the phone turned in his hand like a living thing.

"Ms. Wu, what are you considering?" Ren Haitao asked after reading the test sheet.

"I don't know, go check it out."

When he arrived at the Second Hospital of the Medical University, Matthew De's parking card had already been invalidated, and the car could not enter the underground parking lot. Take Wu Mian to the entrance of the inpatient department, and he goes to the car.

Wu Mian didn't say much, he called Director Xu, took the box from Ren Haitao, and walked quickly up the fire escape.

When he came to the operating room, Director Xu stood at the door and saw Wu Mian coming up from the fire escape, and hurriedly greeted him. Soon, Ren Haitao also walked out of the fire tunnel panting, Director Xu's face was slightly ugly.

"How is the patient's condition." Wu Mian asked directly without greeting.

"Professor Wu……"