Sleepless Doctor

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"Don't panic, what's the situation now?!" Wu Mian asked loudly and sternly while rushing to the car.

"Blood pressure and oxygen saturation are gradually decreasing, and it is now 85%...Heart rate 110 beats/min, ECG..." the person on the phone said.

After electrosurgical resection of the prostate, the blood pressure drops and the blood oxygen saturation cannot be stabilized. As for the ECG estimation, I can’t understand it.

Wu Mian groaned slightly, then asked, "Who is the surgeon?"

"Dean Zhou."

"Call him."

Get in the car, Wu Mian and Chu Zhixi both walked to the driving position.

"I'm coming." Wu Mian said solemnly.

"Brother, drive slowly." Chu Zhixi didn't argue, and turned back to the co-pilot.

Director Zhou’s trembling voice came from the phone, "Section Chief Wu..."

"Dean Zhou, don't panic, give the patient 20mg of dexamethasone, and simply talk about the operation." Wu Mian caught fire, then connected to the Bluetooth, handed the mobile phone to Chu Zhixi, fastened the seat belt, kicked the accelerator, and the speed was as fast as possible. It's 40 miles.

Snow, mountain roads, there is really no way to go faster.

Wu Mian had a flying knife, and when he had a meal after going to a field operation, he heard from the local doctor that the surgeon rushed to the emergency room in the middle of the night. As a result, the car went over in the ditch and he almost died.

Haste is not enough, Wu Mian controls the speed of the car and listens to the operation.

Wu Mian didn't care who the patient was, no matter who it was, it was just a patient at this moment.

Dean Zhou’s voice came from the phone. He asked the nurse to give 20mg of dexamethasone, and then said, “Today, Director Wang had an electrotomy of the prostate. There was nothing wrong during the operation. Director Wang coughed twice. The operation was done. For 45 minutes, when I was done, the nurse said that Pharaoh started to spray blood."

"Calcium gluconate, 2g, intravenously." Wu Mian said immediately after hearing a brief medical history.

"Furosemide 20mg, morphine 10mg, intravenously."

"Give hypertonic sodium."

"Section Chief Wu...what is hypertonic sodium?!" Dean Zhou hurriedly asked.

Wu Mian was speechless. He frowned and drove with a grim expression.

"Dean Zhou, 3 sticks of 10% concentrated salt, add 500ml salt water, 50 drops per minute." Chu Zhixi took a peek at Wu Mian's expression and replied instead.

I don’t even know the hypertonic sodium used for the treatment of electrosurgical resection of the prostate. I really shouldn’t.

The success rate of surgery depends on luck, which is indeed the case in primary hospitals. But looking at the Concord decades ago with the current eyes, it is probably the same.

Chu Zhixi didn't directly talk about the concentration, but said in detail how many sticks of concentrated salt were added to how much normal saline, and even the dripping speed was clearly stated.

Twenty seconds later, Dean Zhou asked in a low voice, "Chapter Wu, Professor Chu, and the nurses are dispensing medicine, what else do they need?"

"Have you checked up?" Wu Mian said.

"What are you checking?"

"Call Director Wang, is he responding?" Wu Mian asked while driving.

"No."

"The pupil reflects the light."

"disappear."

"Head-eye reflex."

"..." There was no sound on the phone side.

Wu Mian knew that it should be the primary hospital that no one knew what head-eye reflex was. It was very maddening, and I couldn't teach them how to do it on the phone.

"How big is the pupil?"

Wu Mian no longer asked the result of the head-eye reflex, but asked the next question.

"The pupil diameter is 3mm, on both sides... almost the same size."

"Knee jumping reflex."

"disappear."

"Is all the medicine in?!" Wu Mian asked.

"Yes, yes."

"The ventilator assists in breathing. I have 20 minutes to arrive." Wu Mian said, "If the situation is not good, give the heart triplet, breathe triplet, and give adrenaline again, and wait until I arrive."

After speaking, he hung up the phone.

"Brother, don't be angry."

Wu Mian took a deep breath, then exhaled.

"It's hard not to be angry, but when I think of it as a primary hospital, so be it." Wu Mian seemed to be talking to Chu Zhixi, and it seemed to be comforting himself.

Chu Zhixi's previous knowledge of primary hospitals came from community hospitals in Europe and the United States. She even suspects that nurses are treating patients instead of doctors. The level of... is really hard to describe.

The domestic medical treatment is similar.

I still remember the teacher asked a question when I was in school, the difference between a large tertiary hospital and a primary hospital.

Later the teacher gave two examples.

For the same patient with pneumonia, a large tertiary hospital requires early diagnosis, early treatment, avoiding complications, and thorough consideration. It is impossible to have whole-hospital consultations for the purpose of cure.

In the primary hospital, the most experienced old doctors will judge that the patient’s condition is still stable now, but after 20 minutes of unevenness, he will have difficulty breathing. It is safe to send it directly to the higher-level hospital.

The purpose of treatment is different, and the means are naturally different.

Basic-level hospitals do not require cure, especially for serious illnesses. It only requires doctors to see the priority and timely referral is enough. More... That is the job of higher-level hospitals.

As for Dean Zhou’s things today, there is indeed something wrong. He doesn’t even know about hypertonic sodium for the prostate resection. No wonder his brother is angry.

Thinking about it, Chu Zhixi took a peek at Wu Mian.

Wu Mian seemed to have eased up. Although he was still stern, the veins in his forehead did not bulge.

This is good, this is good, Chu Zhixi thought.

"Brother, is it electric resection syndrome?"

"It's estimated to be." Wu Mian said, "Dean Zhou is also an old doctor. He didn't even understand the complications of the prostate resection operation."

"Resurgery syndrome is still relatively rare, I guess he has never seen it."

Wu Mian was silent.

He knew that Chu Zhixi was comforting himself, but this was definitely not a reason.

If his doctor really wanted to stick him to the wall, Wu Mian thought.

Going down the mountain, the car speeds up.

All the way 50 steps, less than 60, "swiftly" drove to the Bajingzi Hospital of Traditional Chinese Medicine.

Wu Mian got out of the car and strode upstairs, followed by Chu Zhixi trotting.

A nurse was waiting at the door, and seeing Wu Mian coming, the expression on her face relaxed a little, "Chapter Wu, you are here."

"How is the patient?" Wu Mian asked ~www.wuxiaspot.com~ The condition is a little better, and the suction tube **** out a lot of pink blood foam. "The nurse said.

While she was talking, she opened the door of the men's locker room, "The clothes are ready."

Wu Mian didn't speak, and entered the house to change clothes with a grim look.

Chu Zhixi went to the women's locker room with the nurse.

After changing his clothes, Wu Mian put on a disposable sterile cap and strode in while wearing the mask belt.

The ticking sound of the ventilator can be heard, but there is no alarm sound.

Wu Mian judged that the problem was not big, it was just the resection syndrome. He was given the medicine at the earliest, and there should be no problem after the acute phase.

Dean Zhou...Wu Mian thought that this guy had stubbed out the prostate for a lifetime, but he didn't even understand the resection syndrome.

It's really stupid and bold, and it's a good life for Dean Zhou to work like this without accident.