240 The more you look at it, the more confused you become

Lin Daoist didn't have a good night's rest yesterday, just changing clothes in front of the mirror, looking for his best look. He closed his eyes and eavesdropped on Wu Mian and Chu Zhixi talking, and soon fell asleep.

He tried to hold on, if he fell asleep on the plane and snored again...... It is detrimental to the dignity of the superior.

Although he flew very fast, Lin Daoist worked extremely hard.

This is also the first time to go out to "slay demons and subdue demons", and I am not used to it, but it will be fine in the future, and Daoist Lin will make excuses for himself.

Two and a half hours later, the plane landed.

As it slowly taxied, a row of black cars approached from a distance.

Originally, one or two cars didn't feel like anything, but as long as there were more than that, it gave people a spectacular feeling.

Especially in places like airports.

"Immortal Lin Chang. ”

The plane stopped, Zhuang Yongzhi unbuckled his seat belt, stood up and politely made a gesture of please.

Daoist Lin bowed slightly, and Wei Dabao was carrying an old box beside him, always feeling a little uncomfortable. If Uncle Xiao could carry the box, how good it would be, Daoist Lin thought to himself.

"The people on the other side of the wall are your nephews, I arranged for someone to take them to take a walk in Xiangjiang, shopping and other things, so that they will come and return satisfied. Zhuang Yongzhi and Lin Daoshi said, "Xiangjiang is prosperous, I want to come to ......"

"Uh...... That's my little uncle and little sister. Daoist Lin was stunned for a moment, and then he understood who Zhuang Yongzhi was talking about.

MD, you want to take Uncle Xiao away, who will treat your father!" Daoist Lin scolded viciously in his heart.

Zhuang Yongzhi was stunned.

He also looked at Wu Mian carefully regardless of any politeness.

Uncle Lin, Daoist Lin should be forty-four or five years old, and the two people around him who are dressed in ordinary clothes look like they are both of this age. Only the young couple looked quite strange, young, but they were used to private jets, talking and laughing, and they didn't care at all.

Originally, Zhuang Yongzhi thought that they were the juniors of Lin Daoshi, and by the way, they came to Xiangjiang to see the excitement and have a good time.

At first sight, he was slightly unhappy in his heart, but Zhuang Yongzhi was deep in the city and did not show it, and he also offered to arrange for Wu Mian and Chu Zhixi to browse the Xiangjiang River.

But what I never expected was that young man turned out to be Daoist Lin's junior uncle!

"Boss Zhuang, don't bother arranging it, hurry up and go see Lord Lingzun. Wu Mian walked over with a smile and said, "Now the situation can change at any time. ”

"Has there been a change?"

"Didn't my nephew say it, old, traumatized, and weak. In secular parlance, life is in danger at any time and needs to be rescued in the Sanatorium & Hospital. Wu Mian spoke softly, and he didn't pretend to be a ghost like Daoist Lin, Zhuang Yongzhi was suspicious in his heart.

After getting off the plane, Daoist Lin and Zhuang Yongzhi said, "My junior uncle is cultivating the Great Dao of Heaven and Earth, and he is rejuvenated, so he will always look so big." ”

“......”

Zhuang Yongzhi didn't believe it in his heart, but he couldn't refute Daoist Lin in person, so he could only vaguely pass it.

After getting into the car, everyone sat down, and Wu Mian didn't seem to have the slightest interest in the luxurious interior of the car. After sitting firmly, he said directly, "Boss Zhuang, show me Ling Zun's medical records." ”

Everything is prepared, but this person who opens his mouth and asks for medical records, looks like a doctor, where is the immortal who slays demons.

Zhuang Yongzhi had mixed feelings in his heart, and he couldn't tell what it was like.

When the female secretary next to him saw him bowing her head, she took out the medical record and handed it to Wu Mian.

The patient's blood pressure was well controlled at 120/60 mm Hg and the preoperative glycosylated hemoglobin level was 7.1%.

Preoperative evaluation includes physical examination, electrocardiogram, echocardiography, spirometry, plain radiograph, and computed tomography. There are no signs of abnormal heart and lung function or abnormal airways.

"According to the American Society of Anesthesiologists, his physical condition is rated Class III, and the Society of Anesthesiologists has a Class III rating for his physical condition. Lao Ren, you look at the eye medical records. ”

Wu Mian handed over the finished pages to Ren Haitao.

Ren Haitao finally entered his familiar rhythm, and kept saying that he was confused.

After taking the medical records, Ren Haitao looked at them carefully for a few minutes, wrote down the grading standards of the American Society of Anesthesiologists mentioned by Mr. Wu, and prepared to go back and memorize them.

"There was nothing wrong with the anesthesia process, and the operation itself was very clean, and I didn't see anything wrong. ”

Wu Mian handed over the operation records and anesthesia records to Ren Haitao.

"Brother, I didn't see any damage when I was intubated, I guess it wasn't surgery that damaged my vocal cords. Chu Zhixi leaned on Wu Mian's shoulder, looked at the medical records together, and asked suspiciously.

Zhuang Yongzhi sighed in his heart.

Lin Xianchang's little uncle and little sister leaned together to look at the medical records, giving people a feeling of childhood sweethearts. Beauty is naturally beautiful, but when it is necessary to cure diseases and save people, or even when you need to kill demons, you can't look at it unreliable.

He glanced at Daoist Lin and saw that Daoist Lin closed his eyes and didn't say a word. Zhuang Yongzhi could only take a deep breath, recall what Tao Ruo said, and suppress the incomprehension in his heart.

Lao Ou Mountain's method is strange, and when the demon is eliminated, the demon is turned into a disease...... This is all what Tao Ruo said. The dealer and Tao Ruo have a close relationship in Yangcheng, Tao Ruo is cautious and cautious in his speech, so Zhuang Yongzhi is suspicious in his heart, and he can only suppress it.

Ren Haitao didn't notice the turbulent waves under the calm, but looked at the medical records intently. The medical records of the Sanatorium & Hospital are quite standardized, and they look very comfortable.

People have one or two surgeries a day, but they earn more than ten times or dozens of times their own. If you have time, you can naturally write a good medical record, but Ren Haitao is not very convinced.

In the operating room, an epidural catheter was placed in the thoracic 10/11 intervertebral space. General anesthesia was induced with 0.5 μg/kg/min remifentanil and 1 mg/kg propofol.

A bolus of 0.7 mg/kg rocuronium bromide was injected and a catheter with an internal diameter of 8.0 mm was inserted directly with a curved laryngoscope without difficulty.

The laryngoscope can be inserted without difficulty, which means that there is no laryngeal damage, and the possibility of vocal cord and glottis damage is ruled out.

The catheter balloon is inflated, the pressure is adjusted by touching the small balloon so that it does not leak, and the endotracheal tube is fixed at 24 cm of the incisor scale. During the operation, the tidal volume was controlled at 8 mL/kg, the frequency was 10 times/minute, and the positive end-expiratory pressure was 5 cm H2O.

The peak inspiratory pressure is 18-22 cm H2O. Ephedrine and phenylephrine are used as needed to maintain a mean arterial blood pressure of > 60 mmHg.

General anesthesia is maintained with 4% desflurane, 0.1 μg/kg/min remifentanil, and rocuronium. Ropivacaine (0.25%, 5-7 mL intermittent bolus every 90 minutes) is used for epidural anesthesia.

The operation went smoothly and the endotracheal tube was removed in the operating room (endotracheal intubation time: 4.1 hours; Total fluid volume: 2900mL; Blood loss: 247 mL). The patient is awake and has no observed airway symptoms.

Ren Haitao focused on anesthesia and recorded them thoroughly, and he didn't see any problems.

After reading it, instead of a feeling of sudden enlightenment, I became more and more confused. How to explain the patient's voice change after 4 days?!