"Xiao Wu, something''s wrong?" section chief Duan understood it was a problem when he heard a few words, and it was estimated that it was not a small thing according to Wu Mian''s appearance.


    "There''s an accident in medical sophomore," said Wu Mian. "Section chief Duan, don''t say more. I''ll go and have a look."


    "You''re busy, you''re busy."


    Wu Mian strode out of the office and dialed the phone in his hand.


    "Lao Ren, contact the horse hospital and go to the second stage of Medical University for consultation." Wu Mian said.


    Seeing Wu Mian in a hurry, section chief Duan had no time to wipe the water stains on his pants and hurried out of the office.


    Call a group of people to go to medical sophomore... Section chief Duan can''t think of such a thing. Is this going to smash the field?


    Wu Mian went downstairs. Matthew was waiting at the door. When he saw Wu Mian coming down, he said, "teacher Wu, the doctor of medical sophomore year used to call me..."


    "It''s all right. Tell me the details." Wu Mian asked.


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


    Wu Mian was silent and had no information. He could not judge the situation just because he knew what disease he was suffering from.


    When they got on the bus, Ren Haitao hurried over with a box.


    "Lao Ren, you need to exercise," said Wu Mian. "Is there a fiber optic mirror in the box?"


    "Well, there are all kinds of models. There are some other equipment. I''m afraid you need it temporarily and can''t find a suitable one." Ren Haitao said, "teacher Wu, what patient?"


    "I don''t know yet. Let''s have a single test later." Wu Mian said.


    Matthew gave his mobile phone to Wu Mian and drove straight to the second hospital of Medical University.


    "Horse yard, you''ve done a good job as the medical director. I''ll call you when we''re gone." Wu Mian joked.


    "Alas, Mr. Wu, you''ve also seen the new director Han of the medical department. It''s strange to manage well." Matthew sighed. "I wasn''t originally a patient of our hospital or invited by the hospital. I''m a special person. I really don''t want to meddle in this business. But director Xu of the anesthesiology department called and yelled. It''s estimated that the situation is wrong."


    If there is an emergency during normal operation, the doctor usually notifies the medical department while emergency rescue, and uses his contacts to find a higher-level doctor to help solve it.


    There is no need to consider such matters as fixed-point practice. Things are urgent and in power. Saving Taiwan is like fighting a fire. Similar things have never caused any moths. After all, I asked someone to save the platform. Even if the operation failed, I didn''t bring people to bear the black pot in the end.


    But this kind of thing is particularly troublesome. As Matthew said, he is not a doctor, but a former medical director.


    The iron camp, the flowing soldiers, have gone. They go back and give orders. It''s really easy to have an accident.


    But no matter what trouble is more important than saving Taiwan. That''s human life!


    While driving at the speed limit, Matthew wondered what to do when he went, so as to get things done while avoiding trouble as much as possible. Thanks to Mr. Wu, I can still have a little bottom in my heart.


    Soon, Matthew''s mobile phone vibrated, and Wu Mian directly opened wechat.


    "There''s nothing you can''t see in the horse yard," Wu Mian asked.


    "Hi, Miss Wu, you think highly of me," Matthew said. "I''m such a bad old man. I don''t have that heart."


    Wu Mian did not continue to laugh. He glanced at the test sheet and then looked at the next list. Fingers fly fast. Each picture seems to have no pause. Ren Haitao is dazzled behind him.


    After reading more than a dozen test sheets and a brief introduction to his condition, Wu Mian frowned.


    "Miss Wu, let me have a look?" Ren Haitao asked in a low voice.


    "HMM." Wu Mian handed him his cell phone and asked, "horse yard, the preoperative examination is incomplete."


    "Isn''t this the recent activity of the second hospital to solve problems for patients? Director Han''s first decree is to resolutely put an end to the indiscriminate opening of test sheets," said Matthew.


    "Isn''t this a joke?" said Wu Mian. "Just do the most basic inspection? Whose fault is it?"


    "It must be the clinician''s. director Han has already cleared the responsibility. Otherwise, director Xu wouldn''t come to me. You didn''t hear him. Director Xu''s voice was shaking."


    "Are you all lucky? If you encounter it, it''s bad luck." Wu Mian said, "how can you manage the hospital like this."


    "What do you think, Miss Wu?" Matthew asked.


    "Hurry up and have a look." Wu Mian frowned. "The situation is not good now. As soon as the aorta opens, the heart rate is 180 minutes."


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


    "Let me think." Wu Mian pondered, tapped the passenger''s window with his right finger, and then picked up his cell phone.


    "Director Xu, I, Wu Mian."


    "Hello, Miss Wu, it''s really troublesome for you." director Xu said politely.


    "Is it convenient? What step has the operation done now? Let''s talk about the situation briefly."


    "Female, 30 years old, 55kg. She was admitted to the hospital in February because of repeated chest tightness, chest pain, shortness of breath and heart murmur. After admission, cardiac color Doppler ultrasound showed rheumatic heart disease, moderate mitral stenosis, mild mitral insufficiency and moderate aortic insufficiency; ECG showed coarse atrial fibrillation, and the ventricular rate was 100 ~ 120 times."


    "After the operation of extracorporeal circulation through aortic incision, when the body temperature drops to 30 ℃, block the ascending aorta, pour cold cardioplegia, and cool the heart surface at the same time. The heart rate is 95 ~ 115 beats per minute when entering the room, with atrial fibrillation law. After induction intubation, the heart rate slows down to 90 beats per minute."


    "When the aorta was just opened, the patient''s heart rate suddenly increased and fluctuated between 170-180 beats."


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


    "Esmolol 20mg and cedilanid 0.6mg were administered intravenously, but the effect was not ideal." director Xu said, "because the patient is relatively young, we shouldn''t have such a big reaction. We don''t know what to do next."


    "I see. I''ll go and see what happens," said Wu Mian.


    "Miss Wu, then... Surgery..."


    "First maintain vital signs. I''ll be there in about 30 minutes," Wu Mian said. "If heart failure is not obvious, you can... Forget it, wait until I go."


    After hanging up the phone, Wu Mian looked calm and didn''t say a word.


    He twists the mobile phone, and there is no obvious movement in his fingers. The mobile phone rotates in his hand like a living creature.


    "Mr. Wu, what are you thinking about?" Ren Haitao asked after reading the test sheet.


    "I don''t know. Go and have a look."


    When he came to the second hospital of Medical University, Matthew''s parking card had already been invalidated and the car could not enter the underground parking lot. Take Wu Mian to the door of the inpatient department. He stops the car.


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


    When he came to the operating room, director Xu stood at the door. Seeing Wu Mian coming up from the fire passage, he hurried to meet him. Soon, Ren Haitao came out of the fire escape panting. Director Xu''s face was slightly ugly.


    "How is the patient?" Wu Mian asked directly without greeting.


    "Miss Wu..."