Sleepless Doctor

　　　　 "You don't have to climb mountains here, just come to burn incense, are you patients with advanced tumors?"

　　 "Said it was a young female pilgrim."

　　 "Are you young?" Wu Mian muttered.

"I don't know the specific situation, but I'm scared." Lin Daoshi said, "We have some equipment here, but no medicine or anything. I have been thinking about obtaining a license, but the Taoist Temple license is too weird and it keeps dragging on. I didn't get it."

　　 Wu Mian knows that medicines are not available for use as they wish, and they are not for their own family members. Once there is a drug reaction, it is illegal, and in the worst case, it is homicide.

　　Practicing medicine without a license, that's a big deal!

　　 Wu Mian didn't care very much either. The pilgrims who can come to the incense are supposed to be in good health, and the possibility of transient fainting is the greatest.

　　 came to the front door of the Qianshan Hall, a group of people were surrounded by the shade outside the door wall.

　　 "Master, here!" A little Taoist shouted anxiously, beckoning.

Wu Mian and Lin Daoshi walked over and saw a 24- or 5-year-old girl lying on the ground. She was wearing a sling, with red marks on her exposed skin. From a distance, she could hear roars in her respiratory tract. the sound of.

　　 "..." Wu Mian was startled, is this allergic?

　　In Laoyashan, I unexpectedly encountered allergic patients.

　　 Wu Mian sighed, separated the crowd and stepped forward.

　　 Girls have flushing skin and extensive urticaria-like maculopapular rash; shortness of breath, wheezing, holding breath, and cyanosis of the lips.

　　 "Hit 120." Wu Mian said.

　　 "Huh?" Lin Daoshi looked at Wu Mian in surprise. Shouldn't the little teacher come up and have a few snaps and heal him? Why should I call the 120 emergency call?

　　 "Allergic shock, not to the point of throat edema, hurry up." Wu Mian frowned and said coldly.

　　 "Oh oh." Lin Daoshi immediately arranged for someone to call.

　　 "Do you have a tracheal intubation here? Take me to take a look." Wu Mian said.

　　 Taoist Lin has no idea, what is Wu Mian talking about.

　　 It’s just that there are a lot of people here, so it’s best not to let the pilgrims hear things like anaphylactic shock. After all, it’s only natural for a doctor in white clothes to say this. But if you say this in a Taoist robe, you feel a little nondescript.

　　 These are all details, but sometimes the details determine success or failure, and you must be cautious. Lin Daoshi has been cautious for so many years.

　　 Wu Mian's nose twitched and asked, "Who is from her family?"

　　 "I am." A boy said, "Master, what's wrong with my girlfriend?"

　　 "Did you spray mosquito repellent water before going up the mountain?"

"Yes."

　　 "How much sunscreen did you put on?"

　　 "……"

　　 The people around were startled. Why did this little Taoist ask such a strange question?

　　 "Nothing less." Wu Mian looked at the girl and said, "You don't know if these two things can't be used together?"

　　 "……"

　　 The boy looked at Wu Mian dumbly.

　　 "Little Master, you are tired." Lin Daoshi said suddenly.

　　 The surrounding area was quiet. Wu Mian knew that Daoshi Lin was looking for supplements. He didn't care too much, and said lightly, "The main ingredients of mosquito repellent water are DEET and alcohol, and sunscreen contains dimethyl ketone..."

　　 "Dipropyl ketone? What is that?" the boy asked startledly.

"It is a styrene polymerization inhibitor and a fragrance fixer, which can make the fragrance emit a sweet smell, and is widely used in perfume and soap flavors. In the cosmetics industry, it can be used in sunscreen products to improve the experience." Wu Mian briefly explained. , Continued, "The mixture of large amounts of dimethyl ketone and DEET, combined with the effect of alcohol, causes allergies."

　　 Taoist Lin is also quite helpless, this is a godsend, but unfortunately things are urgent, so I can't pretend to be forced.

　　If you change yourself, Laoyashan's reputation value can once again rise a lot.

　　 It's a pity, the little uncle is not willing to pretend to be a ghost, if this is...

　　 said one thousand things and ten thousand, Lin Taoshi could only be a pity, but he didn't dare to really say these things to Wu Mian.

　　 In the bottom of his heart, he had a certain fear of Wu Mian. At the beginning, it was from his father's dictation. As he got more and more in touch, the less he could understand this young man wearing sunglasses.

　　Wearing sunglasses and looking at it, I knew it was allergies caused by mosquito repellent water and sunscreen. Is this still a human?

　　 "Xiao Xi, come to Qianshan."

　　 Tao Shi Lin was thinking, Wu Mian called, "There is a patient with anaphylactic shock. Let's take her to the hospital."

　　 "Little Master, you send it yourself?"

　　 "What should I do with throat edema halfway? This is an acute allergy, so be careful."

　　……

　　……

　　 First Hospital of Medical University, whole hospital consultation.

　　 The thoracic surgery, anesthesiology, respiratory, and critically ill doctors are sitting in the office, and the level of consultation is also a bit high. The clinical vice-president Xue Chunhe personally presides over the specific matters.

"Let me just say a few words. The diagnosis of the patient is very clear. Adenoid cystic carcinoma of the lower trachea. The operation is not difficult, but the problem is that the surface of the tumor is rich in blood supply. I'm worried about the rupture of major blood vessels." Director Xu of the Anesthesiology Department said.

This is a matter of the director’s face-to-face arrangement. If he comes out for the whole hospital consultation without anyone taking notes, it seems to be lowered than others~www.wuxiaspot.com~ I just caught up with Ren Haitao on duty today, so he was not busy. Act as secretary temporarily.

　　 "Can't you be anesthetized?" Xue Chunhe asked.

　　 "The risk of anesthesia is too great." Director Xu of the Anesthesiology Department replied.

　　The few people present were also very worried, but there was nothing good for anyone.

　　 The patient is a 78-year-old woman. Due to chest tightness, shortness of breath and dry cough for more than 2 months, she was helped by her family to go to the Department of Thoracic Surgery of the Second Hospital of Medical University 1 week ago. Her chest CT showed "thickened tracheal wall and narrowed lumen".

　　Bronchoscopic examination showed that a new creature of 15mm×16mm was seen 2.5 cm from the carina. The texture was brittle and easy to bleed when touched. The pathological biopsy was diagnosed as "adenoid cystic carcinoma of the lower trachea".

　　 The diagnosis is clear, but the problem at the time was how to remove it.

　　 The tumor is 2.5cm above the carina, and the tracheal intubation will inevitably be inserted here. Not to mention the tough tracheal intubation. When doing fiberoptic bronchoscopy, the lens touched the tumor lightly, and the surface of the tumor immediately began to bleed. I bit my scalp and took the pathology, covered it with hemostatic gauze and hemostatic powder for half an hour before slowly stopping the bleeding.

　　 If this is a tracheal intubation, it is estimated that the ventilator blows and the blood flows back, and the patient will have to be drowned in his own blood before the chest is opened.

　　 The operation to remove the tracheal tumor is very simple, but the simplest operation cannot be done without anesthesia.

　　 Anesthesiology department has a many-year-old stem called Bangma. This was when surgery was first performed in the West more than 300 years ago. Because of the fear of pain, the patient would be stunned with a stick before the operation was performed.

　　 At that time, the word "quick" was emphasized in the operation.

　　 And in front of me is an old lady who is almost 80 years old, if it’s numb...