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


    "The blood pressure is 8956mmhg, and the oxygen saturation drops gradually. Now it''s 85%... The heart rate is 110 minutes, and the ECG..." the person on the phone said.


    After prostatectomy, blood pressure drops and oxygen saturation is unstable. I can''t understand the ECG estimation.


    Wu Mian pondered slightly and asked, "who is the performer?"


    "President Zhou."


    "Call him."


    On the bus, Wu Mian and Chu Zhixi both came to the driver''s seat.


    "I''ll come." Wu Mian said in a deep voice.


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


    On the other side of the phone came President Zhou''s trembling voice, "section chief Wu..."


    "Dean Zhou, don''t panic. Push 20mg dexamethasone to the patient and briefly talk about the operation." Wu Mian caught fire, then connected Bluetooth, handed his mobile phone to Chu Zhixi, tied up his seat belt and stepped on the accelerator. The speed reached 40 miles.


    Snow, mountain roads, really can''t be faster.


    Wu Mian had a flying knife. When he went to eat after surgery in other places, he heard from the local doctor that the operator was in a hurry to rescue the emergency in the middle of the night. As a result, the car turned over and went into the ditch. He almost didn''t die.


    If you want speed, you can''t reach it. Wu Mian controls the speed and listens to the operation.


    Wu Mian doesn''t care who the patient is. No matter who it is, it''s just a patient at this moment.


    President Zhou''s voice came from the other side of the phone. He asked the nurse to give 20mg dexamethasone, and then said, "today, director Wang did prostatectomy. There was nothing to do during the operation, and director Wang coughed twice. The operation lasted 45 minutes. When I finished, the nurse said that old Wang began to spray blood."


    "Calcium gluconate, 2G, intravenous injection." Wu Mian said immediately after hearing a brief medical history.


    "Furosemide 20mg, morphine 10mg, intravenous injection."


    "Give hypertonic sodium."


    "Section chief Wu... What is hypertonic sodium?!" President Zhou asked in a hurry.


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


    "President Zhou, add 3 pieces of 10% concentrated salt into 500ml salt water, 50 drops per minute." Chu Zhixi secretly glanced at Wu Mian''s expression and replied instead of him.


    To do prostatectomy, I don''t even know the hypertonic sodium used in the treatment of electrosurgical syndrome. It really shouldn''t.


    The success rate of surgery depends on luck, which is true in grass-roots hospitals. But it is probably the same when we look at Concorde decades ago.


    Chu Zhixi didn''t directly say the concentration, but said in detail how many sticks of concentrated salt were added to how many normal saline, and even the dropping speed was clear.


    20 seconds later, President Zhou whispered, "section chief Wu, Professor Chu and nurses are dispensing. What else do you need?"


    "Did you check your body?" Wu Mian said.


    "What are you looking for?"


    "Calling director Wang, did he respond?" Wu Mian asked while driving.


    "No."


    "Pupil reflex to light."


    "Disappear."


    "Head eye reflex."


    "..." there was no voice on the phone.


    Wu Mian knows that it should be a grass-roots hospital. No one knows what head eye reflex is. It''s very crazy. He can''t teach them how to do it on the phone.


    "How big are the pupils?"


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


    "Pupil diameter 3mm, both sides... Almost the same size."


    "Knee jerk reflex."


    "Disappear."


    "Did you get all the medicine?" asked Wu Mian.


    "Here, here."


    "Ventilator assisted breathing, I have 20 minutes to go." Wu Mian said, "if the situation is not good, give heart triple, breath triple, and adrenaline again. Wait until I arrive."


    With that, he hung up.


    "Brother, don''t be angry."


    Wu Mian took a deep breath and then vomited out.


    "It''s hard not to be angry, but at the thought of being a grass-roots hospital, that''s it." Wu Mian seemed to talk to Chu Zhixi and comforted himself.


    Chu Zhixi''s previous knowledge of grass-roots hospitals came from community hospitals in Europe and America. She even suspected that nurses handled patients there, not doctors. The level... It''s hard to say.


    Domestic medical care is also similar.


    I still remember when I was at school, the teacher asked a question about the difference between large class III hospitals and grass-roots hospitals.


    Later, the teacher gave two examples.


    For the same pneumonia patient, the large third class hospital requires early diagnosis and early treatment to avoid complications. It is really not feasible for the whole hospital to consult in order to cure.


    In grass-roots hospitals, the most experienced doctors will judge that the patient''s condition is still stable, but he will have difficulty breathing after 20 minutes. It''s safe to send him directly to the superior hospital.


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


    Grass roots hospitals do not require cure, especially for serious diseases. They only require doctors to see the priorities and timely referral. No matter how much... It''s the work of higher-level hospitals.


    There is something wrong with the matter of director Zhou today. He doesn''t even know about hypertonic sodium when he performs prostatectomy. No wonder his brother is angry.


    Thinking, Chu Zhixi secretly glanced at Wu Mian.


    Wu Mian seemed to have eased over. Although he was still flat faced, the veins in the frontal horn did not bulge.


    That''s good, that''s good, Chu Zhixi thought.


    "Brother, is it electric cutting syndrome?"


    "It''s estimated." Wu Mian said, "President Zhou is also an old doctor. Why don''t you even understand the complications of prostatectomy?"


    "Electrocautery syndrome is still relatively rare. It''s estimated that he hasn''t 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 paste him on the wall, Wu Mian thought.


    Down the hill, speed up.


    All the way 50 miles, less than 60, "fast" to bajingzi traditional Chinese medicine hospital.


    Wu Mian got out of the car and strode upstairs. Chu Zhixi trotted behind him.


    A nurse was waiting at the door. When she saw Wu Mian coming, the expression on her face relaxed a little, "section chief Wu, you''re coming."


    "How''s the patient?" asked Wu Mian.


    "In better condition, the sputum suction tube sucks out a lot of pink blood foam," the nurse said.


    As she spoke, she opened the door of the men''s dressing room. "The clothes are ready."


    Wu Mian didn''t speak. He came into the house and changed his clothes with a cold face.


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


    After changing his clothes, Wu Mian put on a disposable sterile hat, tied a mask belt and strode in.


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


    Wu Mian''s judgment is not a big problem. It''s just electroresection syndrome. He gave the medicine as early as possible. There should be no problem after the acute phase.


    President Zhou... Wu Mian thought of the prostate that he had pulled all his life. He didn''t even understand electrosurgical syndrome.


    It''s really stupid and courageous. It''s good for the head of court Zhou to work so hard without accidents.