"You don''t have to climb a mountain here, just burn a incense. Are you a patient with advanced tumor?"

    "Said to be a young female pilgrim."

    "Young?" Wu Mian pondered.

    "I don''t know the specific situation, but I''m afraid, little martial uncle." Taoist Lin said, "we have some equipment here, but we don''t have drugs. I''ve been thinking about getting a license, but the Taoist temple''s license is too strange. I haven''t done it all the time."

    Wu Mian knows that drugs can not be used casually, nor can they be used for his own family. Once there is any drug reaction, it is illegal. To be serious, it is murder.

    Practicing medicine without a license is a big deal!

    Wu Mian doesn''t care very much. The Pilgrims who can come to incense are in good health, and the possibility of transient syncope is the greatest.

    When I came to the front door of Qianshan hall, a group of people surrounded the cool place of the vulva.

    "Master, here!" a little Taoist shouted angrily and waved.

    Wu Mian and Taoist Lin walked over and saw a 24-year-old or 5-year-old girl lying on the ground. She was wearing a sling and there were red marks on her exposed skin. From a distance, she could hear the roaring sound from her respiratory tract.

    "..." Wu Mian was stunned. Is this allergy?

    In laogua mountain, I can meet allergic patients for no reason.

    Wu Mian sighed and separated the crowd.

    Girls'' skin flushing, extensive urticaria like maculopapular rash; Shortness of breath, wheezing, suffocation, cyanosis of lips.

    "Hit 120," said Wu Mian.

    "What?" Taoist Lin looked at Wu Mian in surprise. Shouldn''t little martial uncle come up and fix it with a few slaps? Why should he call 120 first aid?

    "Anaphylactic shock has not reached the degree of laryngeal edema. Hurry up." Wu Mian frowned and said coldly.

    "Oh," Taoist Lin immediately arranged for someone to call.

    "Do you have an endotracheal intubation here? Give me a look." Wu Mian said.

    Taoist Lin has no idea. What Wu Mian says is what.

    It''s just that there are many people here. It''s best not to let the pilgrims hear anything about anaphylactic shock. After all, it''s natural for a doctor in white to say this. But if you say this in a Taoist robe, you feel a little nondescript.

    These are all details, but sometimes details determine success or failure. We must be cautious. Taoist Lin has been cautious for so many years.

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

    "I am." a boy said, "Taoist priest, what''s the matter with my girlfriend?"

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

    "Yes."

    "What brand of sunscreen did you touch?"

    “……”

    The people around were stunned. Why did the little Taoist ask such a strange question?

    "No less wipe." Wu Mian looked at the girl and said, "these two things can''t be used together. Don''t you know?"

    “……”

    The boy looked at Wu Mian dumbly.

    "Little martial uncle, you are tired." Taoist Lin suddenly said.

    It was quiet around. Wu Mian knew that Taoist Lin was going back to make up for it. He didn''t care very much. He said faintly, "the main components of mosquito repellent water are DEET and alcohol, and the sunscreen contains dipropyl ketone..."

    "Dipropyl ketone? What''s that?" the boy asked stunned.

    "It is a styrene polymerization inhibitor and spice setting agent, which can make the spices sweet smell. It is widely used in perfumes and soap flavors. It can be used in sunscreen products to enhance the experience in cosmetics industry." Wu explained briefly, "a large amount of two propyl ketone and DEET are mixed, and the effect of alcohol causes allergy."

    Taoist Lin is also quite helpless. This is a god given opportunity. Unfortunately, the matter is urgent and he can''t pretend to force it.

    If you change yourself, laogua mountain''s reputation can rise a lot again.

    Unfortunately, little martial uncle doesn''t want to play tricks. If

    Taoist Lin can only say a thousand things, but he doesn''t dare to really say these things to Wu Mian.

    At the bottom of his heart, he had a certain fear of Wu Mian. At the beginning, it came from the dictation of his old man. With more and more contacts, he couldn''t understand the young man wearing sunglasses.

    Wearing sunglasses, you can see that it is the allergy caused by anti mosquito water and sunscreen. Is this still human.

    "Xiao Xi, come to Qianshan."

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

    "Little martial uncle, you send it yourself?"

    "What about laryngeal edema on the way? The child was a chronic allergy just now. This is an acute allergy. You have to be careful."

    ……

    ……

    The first hospital of Medical University, the whole hospital consultation.

    The doctors of thoracic surgery, anesthesiology, respiratory department and severe diseases sit in the office, and the level of consultation is also a little high. Xue Chunhe, the vice president in charge of clinical practice, personally presides over it, and director Ma of the medical department is responsible for specific things.

    "Let me say a few words. The patient''s diagnosis is very clear. Adenoid cystic carcinoma of the lower trachea. The operation is not difficult, but the problem is that the blood supply on the surface of the tumor is rich, and it will bleed at the slightest touch. If the lower trachea is intubated, I''m worried about the rupture of large blood vessels." director Xu of the anesthesiology department said. Ren Haitao sat beside him, taking a fake notebook to make a record.

    This is the director''s arrangement problem. If you don''t take people to make records when you come out for consultation, it seems to be one head lower than others.

    Today, Ren Haitao was on duty, and he was not busy, so he acted as a secretary temporarily.

    "Can''t anesthesia?" Xue Chunhe asked.

    "The risk of anesthesia is too great," replied Xu, director of the anesthesia department.

    Several people present were also worried, but no one had any good way.

    The patient was a 78 year old female. She had chest tightness, shortness of breath and dry cough for more than 2 months. One week ago, with the help of her family, she went to the thoracic surgery of the second hospital of Medical University. Her chest CT showed that "the tracheal wall was thickened and the lumen was narrow".

    Fiberoptic bronchoscopy showed a 15mm from 2.5cm away from the carina × 16mm new organism, with brittle texture and easy to bleed when touched, was diagnosed as "adenoid cystic carcinoma of lower trachea" by pathological biopsy.

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

    The tumor is 2.5cm above the carina, and the endotracheal intubation must be inserted here. Let alone the hard endotracheal intubation, the lens gently touched the tumor when doing the fiberoptic bronchoscope, and the surface of the tumor immediately began to breathe and bleed. After hardening the scalp, the pathology was taken and covered with hemostatic gauze and hemostatic powder for half an hour before the bleeding stopped slowly.

    If this is endotracheal intubation, it is estimated that the patient will be "drowned" by his own blood before the completion of thoracotomy.

    The operation of removing tracheal tumor is very simple, but the simplest operation can''t be without anesthesia.

    The anesthesiology department has an old stem for many years, which is called stick anesthesia. This is more than 300 years ago, when there was a surgical operation in the West. Because they were afraid of patients'' pain, they were stunned by a stick, and then they underwent the operation.

    At that time, the word "fast" was stressed in surgery. It was like killing a pig.

    And in front of me is an old lady who is almost eighty. If she is good